Individual provider · Type 1 NPI

Dennis Jordan Widman, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · San Jose, CA

NPI number 1124148929 Active

Practice location

4860 Cherry Ave
San Jose, CA 95118-3716

Fax (408) 997-2946

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X18666 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124148929

Dennis Jordan Widman, DDS's National Provider Identifier is 1124148929, issued on Mar 29, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.