Individual provider · Type 1 NPI

Andrew Geoffrey Widdifield, DMD

General Practice Dentistry · South Gate, CA

NPI number 1164139002 Active

Practice location

4444 Tweedy Blvd
South Gate, CA 90280-6304

Mailing address

7521 Edinger Ave Unit 4601
Huntington Beach, CA 92647-0614

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X108329 (CA)

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.

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About NPI 1164139002

Andrew Geoffrey Widdifield, DMD's National Provider Identifier is 1164139002, issued on Oct 31, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Gate, CA. The record was last updated on Oct 31, 2022.