1. Home
  2. Directory
  3. California
  4. El Monte
  5. Clinic Center
  6. NPI Profile

ANDRE WIDODO DDS A PROFESSIONAL CORPORATION
NPI 1447583661
Clinic/Center - Dental in El Monte, CA

Active since September 08, 2009
11635 VALLEY BLVD STE E, EL MONTE, CA 91732(626) 444-7645(626) 444-7628 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andre Widodo Dds A Professional Corporation NPPES

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

ANDRE WIDODO DDS A PROFESSIONAL CORPORATION (NPI 1447583661) is a healthcare organization registered as a dental in El Monte, California and active in the NPI registry since September 2009. The organization lists Andre Widodo, Dentist / Owner, as its authorized official.

NPPES Registry Identity

NPI1447583661
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANDRE WIDODO DDS A PROFESSIONAL CORPORATION
Location Address11635 VALLEY BLVD STE EEl Monte, CA 91732-3071
Mailing Address11635 Valley Blvd Ste EEl Monte, CA 91732-3071 · (626) 444-7645 · Fax (626) 444-7628
Phone(626) 444-7645
Fax(626) 444-7628
Organization SubpartNo
Authorized OfficialAndre WidodoDentist / Owner · (626) 444-7645
Enumeration DateSeptember 8, 2009
✔ NPI 1447583661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 46152
11635 VALLEY BLVD STE E, El Monte, CA 91732
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WIDODO & ONG DDS, INC.
Dentist (General Practice)
11635 VALLEY BLVD STE E
EL MONTE, CA 91732
Los Angeles County (626) 444-7645

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 Andre Widodo Dds A Professional Corporation's NPI number?

The NPI number for Andre Widodo Dds A Professional Corporation is 1447583661. It was assigned to this organization in the NPPES registry on September 8, 2009.

Where is Andre Widodo Dds A Professional Corporation located?

Andre Widodo Dds A Professional Corporation is located at 11635 Valley Blvd Ste E, El Monte, CA 91732. The listed phone number is (626) 444-7645.

What is Andre Widodo Dds A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Andre Widodo Dds A Professional Corporation accept?

Health plans from UnitedHealthcare list Andre Widodo Dds A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andre Widodo Dds A Professional Corporation was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.