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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CALEB ODUM WIDNER, DDS

Active

CALEB ODUM WIDNER, DDS is a Pediatric Dentistry healthcare provider located in BRISTOL, Tennessee. NPI 1528753688 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BRISTOL, TN

Registration Details

NPI Number
1528753688
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2023 (3.3761080420332 yrs)
Last Updated
Jun 4, 2025
Licenses
0401419359 (VA)
12783 (TN)

Practice Information

Address
350 BLOUNTVILLE HWY
BRISTOL, TN, 376200213
Browse TN providers · Browse ZIP 37620
Phone
4239689661
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in BRISTOL, TN

Name Credential NPI
DR. CHARLES H. CHRIST D.D.S. 1386625663
TODD EDWARD PILLION D.D.S. 1629088752
JAYSON C. SMITH D.M.D. 1912174194
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.