DR. AZZAH WIDATALLA DDS
NPI 1316544570
Dentist in Los Angeles, CA

Q: What is Azzah Widatalla's NPI number?

The NPI number for Azzah Widatalla is 1316544570. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Q: What is Azzah Widatalla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Azzah Widatalla was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2020

5455 WILSHIRE BLVD STE 850, LOS ANGELES, CA 90036(323) 930-4600 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Azzah Widatalla Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AZZAH WIDATALLA DDS (NPI 1316544570) is an individual dentist in Los Angeles, California, licensed in California (105590) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1316544570

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. AZZAH WIDATALLACredential: DDS

Location Address5455 WILSHIRE BLVD STE 850Los Angeles, CA 90036-4234

Mailing Address428 N Ogden Dr Apt 4Los Angeles, CA 90036-1726

Phone(323) 930-4600

Sole ProprietorYes

Enumeration DateOctober 1, 2020

NPPES CertifiedOctober 1, 2020

✔ NPI 1316544570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 105590

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5455 WILSHIRE BLVD STE 850, Los Angeles, CA 90036

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azzah Widatalla's NPI number?

The NPI number for Azzah Widatalla is 1316544570. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Azzah Widatalla located?

Azzah Widatalla practices at 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036. The listed phone number is (323) 930-4600.

What is Azzah Widatalla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Azzah Widatalla was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.