Individual provider · Type 1 NPI
Krystle Grandberry Widen, DMD
General Practice Dentistry · Oak Park, IL
NPI number
1063942159
Active
Practice location
1113 Chicago Ave
Oak Park, IL 60302-1803
Mailing address
2307 W Melrose St
Chicago, IL 60618-6317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019.033543 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Oak Park
- Nina Astaraei, DMDGeneral Practice Dentistry Oak Park, IL NPI 1043922966
- Anna Marie Drakopoulos, DDSGeneral Practice Dentistry Oak Park, IL NPI 1053014670
- Judy R. Burgess-Drain, DDSGeneral Practice Dentistry Oak Park, IL NPI 1053481739
- Nathaniel Lim, DDSGeneral Practice Dentistry Oak Park, IL NPI 1093893273
- Ruoyu Pang, DDS, PhDGeneral Practice Dentistry Oak Park, IL NPI 1104259407
- Kevin D. Givens, DDSGeneral Practice Dentistry Oak Park, IL NPI 1114138369
- Kevin Peter Raihle, DDSGeneral Practice Dentistry Oak Park, IL NPI 1154523736
- Thomas R. Donahue, DDSGeneral Practice Dentistry Oak Park, IL NPI 1164411401
About NPI 1063942159
Krystle Grandberry Widen, DMD's National Provider Identifier is 1063942159, issued on Jun 12, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oak Park, IL. The record was last updated on Feb 16, 2024.