Dennis J. Widman, Dds, Inc.

LBN: Dennis J. Widman, Dds, Inc.
Dennis J. Widman, Dds, Inc. is an health care organization with primary practice located at 4860 Cherry Ave Suite B, San Jose CA 95118-3716. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dennis J. Widman, Dds, Inc. can be contacted via phone (408) 265-4480, or through Widman, Dennis Jordan via phone (408) 265-4480.

Contact Information

Primary practice address
4860 Cherry Ave Suite B San Jose CA 95118-3716
Phone: (408) 265-4480
Fax: (408) 997-2946
Website:
Map and Directions
Authorized official contact:
Name: Widman, Dennis Jordan Doctor of Dental Surgery (DDS)
Phone: (408) 265-4480

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 18666 California

Profile Details

NPI number 1306034293
LBN Legal business name Dennis J. Widman, Dds, Inc.
DBA Doing business as
Authorized official Widman, Dennis Jordan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306034293 NPPES
California Other D18666 MEDICAL, DENTICAL

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