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Andre Widodo DDS A Professional Corporation

Dental Clinic/Center in El Monte, CA · enumerated 2009 · authorized official Andre Widodo, Dentist / Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447583661

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Registry record

Entity type Organization (Type 2)
Legal business name Andre Widodo DDS A Professional Corporation
Practice address 11635 Valley Blvd Ste E, El Monte, CA, 91732
Phone (626) 444-7645
Fax (626) 444-7628
Enumeration date Sep 8, 2009
Last updated in NPPES Sep 8, 2009

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 46152 (CA) Primary

Authorized official

Name Andre Widodo
Title Dentist / Owner
Phone (626) 444-7645

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Andre Widodo DDS A Professional Corporation?
Andre Widodo DDS A Professional Corporation is registered in NPPES as a Dental Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-08.