Individual provider · Type 1 NPI
Dennis Jordan Widman, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · San Jose, CA
Practice location
4860 Cherry Ave
San Jose, CA 95118-3716
Fax (408) 997-2946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 18666 (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…
3 other providers at this address
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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.