Lee & Widodo DDS Inc
NPI 1184972135 · General Practice Dentistry · Chino, CA
Lee & Widodo DDS Inc is a General Practice Dentistry organization in Chino, CA (NPI 1184972135).
Provider details
- NPI number
- 1184972135
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Andre Widodo, Owner(909) 670-1100
- License
- 46152 (CA)
Specialties & taxonomies
Dental Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-08-23
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Frequently asked questions
- What is Lee & Widodo DDS Inc's NPI number?
- Lee & Widodo DDS Inc's National Provider Identifier (NPI) is 1184972135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lee & Widodo DDS Inc?
- Lee & Widodo DDS Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lee & Widodo DDS Inc located?
- Lee & Widodo DDS Inc's practice location on file with NPPES is 5562 Philadelphia St Ste 103, Chino, CA 91710.
- What is Lee & Widodo DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Lee & Widodo DDS Inc is (909) 670-1100.
- Who is the authorized official for Lee & Widodo DDS Inc?
- The authorized official listed on Lee & Widodo DDS Inc's NPPES record is Andre Widodo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lee & Widodo DDS Inc's NPI active?
- Yes — Lee & Widodo DDS Inc's NPI (1184972135) is active in the NPPES registry as of the last update on 2022-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.