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DR. SHAWN MICHAEL WIDICK D.D.S.
NPI 1770610297
Dentist - General Practice in Healdsburg, CA

Active since February 28, 2007
704 HEALDSBURG AVE, SUITE A, HEALDSBURG, CA 95448(707) 433-6907(707) 433-1302 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shawn Michael Widick D.d.s. NPPES

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

DR. SHAWN MICHAEL WIDICK D.D.S. (NPI 1770610297) is an individual general practice provider in Healdsburg, California, licensed in California (43098) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1770610297
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAWN MICHAEL WIDICKCredential: D.D.S.
Location Address704 HEALDSBURG AVE, SUITE AHealdsburg, CA 95448-3651
Mailing Address704 Healdsburg Ave, Suite AHealdsburg, CA 95448-3651 · (707) 433-6907 · Fax (707) 433-1302
Phone(707) 433-6907
Fax(707) 433-1302
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateDecember 18, 2012
✔ NPI 1770610297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 43098
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
704 HEALDSBURG AVE, Healdsburg, CA 95448
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Other Providers at the Same Location NPPES 2

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

DR. GEORGE PETER SCHULZE DDS
Dentist
704 HEALDSBURG AVE, SUITE A
HEALDSBURG, CA 95448
Sonoma County (707) 433-6907
SHAWN WIDICK, D.D.S. INC.
Dentist
704 HEALDSBURG AVE, SUITE A
HEALDSBURG, CA 95448
Sonoma County (707) 433-6907

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 Shawn Widick's NPI number?

The NPI number for Shawn Widick is 1770610297. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Shawn Widick located?

Shawn Widick practices at 704 Healdsburg Ave Suite A, Healdsburg, CA 95448. The listed phone number is (707) 433-6907.

What is Shawn Widick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shawn Widick was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.