WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
NPI 1245589282
Clinic/Center - Dental in Pomona, CA
NPI Status: Active since September 06, 2012
Contact Information
2112 S GAREY AVE STE A
POMONA, CA
ZIP 91766
Phone: (909) 590-5600
Fax: (909) 590-5606
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
About WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
This page provides the complete NPI Profile along with additional information for Widodo & Lee Dds A Professional Dental Corp, a provider established in Pomona, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1245589282 assigned on September 2012. The practitioner's primary taxonomy code is 261QD0000X with license number 46152 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Andre Widodo Dds (Owner)
- NPI
- 1245589282
- Provider Name
- WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
- Entity Type
- Organization
- Location Address
- 2112 S GAREY AVE STE A POMONA, CA 91766
- Location Phone
- (909) 590-5600
- Location Fax
- (909) 590-5606
- Mailing Address
- 2112 S GAREY AVE STE A POMONA, CA 91766
- Mailing Phone
- (909) 590-5600
- Mailing Fax
- (909) 590-5606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2012
- Last Update Date
- 09-06-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 46152
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 5 | 8 | 9 | 2 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 10 | 8 | 18 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 0 + 8 + 1 + 8 + 2 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1245589282 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508901257 | DR. ANDRE WIDODO DDS Individual | Dentist (General Practice) | 2112 S GAREY AVE STE A POMONA, CA 91766 (909) 590-5600 |
| 1417031048 | DR. JEFFREY LEE DDS Individual | Dentist (General Practice) | 2112 S GAREY AVE STE A POMONA, CA 91766 (909) 590-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245589282, enumerated in the NPI registry as an "organization" on September 06, 2012
The provider is located at 2112 S Garey Ave Ste A Pomona, Ca 91766 and the phone number is (909) 590-5600
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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