Andre Widodo DDS A Professional Corporation
Andre Widodo DDS A Professional Corporation is a healthcare organization registered as Dental Clinic/Center in El Monte, CA, holding Type 2 (organization) NPI 1447583661 since 2009. The authorized official on file is Andre Widodo, Dentist / Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1447583661 |
|---|---|
| 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 | 6264447645 |
| Fax | 6264447628 |
| Enumeration date | 2009-09-08 |
| Last updated in NPPES | 2009-09-08 |
Authorized official
| Name | Andre Widodo |
|---|---|
| Title | Dentist / Owner |
| Phone | 6264447645 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 46152 | CA |
Copy-ready billing details
Provider: Andre Widodo DDS A Professional Corporation NPI: 1447583661 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 11635 VALLEY BLVD STE E, El Monte, CA, 91732
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245570258 | Widodo & Ong DDS, Inc. | Organization | General Practice Dentistry | El Monte, CA |
Verify this record
Cross-check NPI 1447583661 against the authoritative CMS record: view Andre Widodo DDS A Professional Corporation on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Andre Widodo DDS A Professional Corporation?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-09-08.