IndividualActive
Andrew Widdifield, DMD
NPI 1164139002 · General Practice Dentistry · South Gate, CA
Andrew Widdifield, DMD is a General Practice Dentistry provider in South Gate, CA (NPI 1164139002).
Provider details
- NPI number
- 1164139002
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 108329 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4444 Tweedy Blvd
South Gate, CA 90280-6304
Phone: (323) 564-2444
Street-level locationGet directions
Mailing address
7521 Edinger Ave Unit 4601
Huntington Beach, CA 92647-0614
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2022-10-31
- Certified
- 2022-10-31
Frequently asked questions
- What is Andrew Widdifield's NPI number?
- Andrew Widdifield's National Provider Identifier (NPI) is 1164139002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Widdifield's specialty?
- Andrew Widdifield is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Andrew Widdifield located?
- Andrew Widdifield's practice location on file with NPPES is 4444 Tweedy Blvd, South Gate, CA 90280-6304.
- What is Andrew Widdifield's phone number?
- The practice phone number listed in the NPPES registry for Andrew Widdifield is (323) 564-2444.
- Is Andrew Widdifield's NPI active?
- Yes — Andrew Widdifield's NPI (1164139002) is active in the NPPES registry as of the last update on 2022-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.