Individual
DR. CHRISTOPHER JAMESON WIDDIFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
24 SALT POND RD STE D1, SOUTH KINGSTOWN, RI 02879-4334
(401) 783-1530
Mailing address
16 BUCKS TRL, WESTERLY, RI 02891-4085
(401) 569-1409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ETL02636
RI
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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