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NPI · 1245589282 · NPPES-sourced

Widodo & Lee DDS A Professional Dental Corp

ActiveDental Clinic/Center
NPI Number
1245589282
Type 2 · Organisation
Taxonomy Code
261QD0000X
Contact
(909) 590-5600
License CA · 46152
Last Updated
Enumerated
Primary practice addressCA · 91766
2112 S Garey Ave Ste APomona, CA 91766
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About this NPIWhat this record shows.

NPI 1245589282 is registered to Widodo & Lee DDS A Professional Dental Corp, a healthcare organisation classified as "Dental Clinic/Center" and located at 2112 S Garey Ave Ste A in Pomona, California. The organisation's authorised official is Andre Widodo. The organisation has been enumerated in the NPI registry since 2012.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Widodo & Lee DDS A Professional Dental Corp accepts. To confirm in-network status with your specific health plan, contact Widodo & Lee DDS A Professional Dental Corp directly at (909) 590-5600.

Frequently asked

Yes. NPI 1245589282 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dental Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 590-5600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Widodo & Lee DDS A Professional Dental Corp is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QD0000X
Last updated
Enumerated
StatusActive
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