Your Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUR DENTAL LLC

Practice address

4959 Castello Dr
Naples, FL 34103-8927

Phone

(239) 262-2677

Fax

(239) 261-2670

NPI assigned

Sep 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher Andrew Widmer, D.D.S.NPI 1023397163

Title

Manager

Phone

(239) 262-2677

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Andrew Widmer, D.D.S.

  • Endodontics
  • Naples, FL
  • NPI 1023397163
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1043861776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 CASTELLO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038927",
            "telephone_number": "239-262-2677",
            "fax_number": "239-261-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 CASTELLO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341038927",
            "telephone_number": "239-262-2677",
            "fax_number": "239-261-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "WIDMER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-262-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Nicole Young, M.D.
• Bhairavi Youngblood, RPH
• Bradley Youngers, PA
• Amanda Youngsman, LMHC
• Younique Health & Wellness
• Your Ortho LLC
• Youth Haven Inc
• Yto-Care Nursing Services Inc
• Hoon Dae Yu, M.D.
• Allen Jeffrey Yuspa

• Dental Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.