Andre Widodo DDS a Professional Corporation
NPI 1447583661 · Dental Clinic/Center · El Monte, CA
Andre Widodo DDS a Professional Corporation is a Dental Clinic/Center organization in El Monte, CA (NPI 1447583661).
Provider details
- NPI number
- 1447583661
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andre Widodo, Dentist / Owner(626) 444-7645
- License
- 46152 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2009-09-08
- Last updated
- 2009-09-08
Frequently asked questions
- What is Andre Widodo DDS a Professional Corporation's NPI number?
- Andre Widodo DDS a Professional Corporation's National Provider Identifier (NPI) is 1447583661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andre Widodo DDS a Professional Corporation?
- Andre Widodo DDS a Professional Corporation is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Andre Widodo DDS a Professional Corporation located?
- Andre Widodo DDS a Professional Corporation's practice location on file with NPPES is 11635 Valley Blvd Ste E, El Monte, CA 91732-3071.
- What is Andre Widodo DDS a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Andre Widodo DDS a Professional Corporation is (626) 444-7645.
- Who is the authorized official for Andre Widodo DDS a Professional Corporation?
- The authorized official listed on Andre Widodo DDS a Professional Corporation's NPPES record is Andre Widodo, Dentist / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andre Widodo DDS a Professional Corporation's NPI active?
- Yes — Andre Widodo DDS a Professional Corporation's NPI (1447583661) is active in the NPPES registry as of the last update on 2009-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.