Dennis J. Widman, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18666 Issued in CA

Legal business name

DENNIS J. WIDMAN, DDS, INC.

Practice address

4860 Cherry Ave
Suite B
San Jose, CA 95118-3716

Phone

(408) 265-4480

Fax

(408) 997-2946

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Jordan Widman, D.D.S.

Title

President

Phone

(408) 265-4480

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1306034293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-265-4480",
            "fax_number": "408-997-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-265-4480",
            "fax_number": "408-997-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. WIDMAN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "WIDMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-265-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "18666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL, DENTICAL",
            "identifier": "D18666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Markette Denham, CCC-SLP
• Mary Jane Denicore
• Syvanna Denison
• Glory M Denkers, PHD
• Deaunne Denmark, MD, PHD
• Dennis Salcido, M.D., a Professional Corporation
• Diana Dawn Denniston
• Dentists of Saratoga, Prof. Corp.
• Priyanka Deo
• Julienne Andrea Ramos Deocares

• Dental Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.