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

DR. SHAWN MICHAEL WIDICK, D.D.S.

Active Sole Proprietor

DR. SHAWN MICHAEL WIDICK, D.D.S. is a General Dentistry healthcare provider located in HEALDSBURG, California. NPI 1770610297 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · HEALDSBURG, CA

Registration Details

NPI Number
1770610297
Provider Type
Individual
Gender
Male
NPI Issued
Feb 28, 2007 (19.462142529779 yrs)
Last Updated
Dec 18, 2012
License
43098 (CA)
Sole Proprietor
Yes

Practice Information

Address
704 HEALDSBURG AVE
SUITE A
HEALDSBURG, CA, 954483651
Browse CA providers · Browse ZIP 95448
Phone
7074336907
Fax
7074331302
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in HEALDSBURG, CA

Name Credential NPI
DR. MICHAEL W. NEAL DDS 1558370841
MARC ALEXANDER DDS 1700978947
DR. MICHAEL BRUNNER DDS 1003947292
DR. ROBERT S. LEACH D.D.S. 1487870663
DR. ASHBY L. CHADBURN D.D.S. 1639382377
MARTHA M SCHWARTZ DDS 1205015716
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.