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RAYMOND WIDICAN DDS
NPI 1629047139
Dentist - Pediatric Dentistry in Braintree, MA

Active since March 16, 2006
111 GROSSMAN DR, BRAINTREE, MA 02184(781) 849-2255 Get Directions Write a Review

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

About Raymond Widican Dds NPPES

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

RAYMOND WIDICAN DDS (NPI 1629047139) is an individual pediatric dentistry provider in Braintree, Massachusetts, licensed in Massachusetts (9962) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1629047139
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameRAYMOND WIDICANCredential: DDS
Location Address111 GROSSMAN DRBraintree, MA 02184-4997
Mailing Address147 Milk St, Provider Enrollment 9th FloorBoston, MA 02109-4806 · (617) 559-8051
Phone(781) 849-2255
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 8, 2009
✔ NPI 1629047139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MA · 9962
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
111 GROSSMAN DR, Braintree, MA 02184
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Other Identifiers 2

OtherPH152MA · Harvard Pilgrim
OtherX03621MA · Bcbs - Dental

Other Providers at the Same Location NPPES 20

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

DR. ELISE REBECCA BENDER MD
Family Medicine
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
THOMAS J CUNNINGHAM PA
Physician Assistant
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
ALONA ROTKOVITCH NP
Nurse Practitioner (Adult Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-1000
DR. SCOTT M SOUTHER MD
Internal Medicine
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2400
DAVID JOHN HAMEL DISPENSING OPTICIAN
Technician/Technologist (Optician)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2293
JEAN M. CHARETTE LMHC
Counselor (Mental Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2275
GAIL S. CHARPENTIER LMHC
Counselor (Mental Health)
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2275
DR. STEPHEN D MORRIS OD
Optometrist
111 GROSSMAN DR
BRAINTREE, MA 02184
Norfolk County (781) 849-2295

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 Raymond Widican's NPI number?

The NPI number for Raymond Widican is 1629047139. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Raymond Widican located?

Raymond Widican practices at 111 Grossman Dr, Braintree, MA 02184. The listed phone number is (781) 849-2255.

What is Raymond Widican's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Raymond Widican was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.