Individual
JONATHAN WIDDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
859 E NORTH CREEK DR, SHERMAN, TX 75092-4064
(903) 870-4867
Mailing address
860 BEAR CROSSING DR, ALLEN, TX 75013-4970
(214) 505-2313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29583
TX
1223G0001X
General Practice Dentistry
29583
TX
Other
Enumeration date
01/11/2014
Last updated
12/29/2022
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