Dr Gary E Widdison, DDS is a
Dentist - General Practice based in Lv, Nevada. Dr Gary E Widdison is licensed to practice in Nevada (license number 2115) and his current practice location is
423 N Eastern Ave, Lv, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 382-1244.
NPI number for Dr Gary E Widdison is 1457488892 and his current mailing address is 423 N Eastern Ave, Lv, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457488892.
Healthcare Provider's Profile
| Full Name | Dr Gary E Widdison |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 423 N Eastern Ave, Lv, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457488892
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gary E Widdison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457488892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2115 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary E Widdison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gary E Widdison, DDS
423 N Eastern Ave,
Lv, NV 89101-4026
Ph: (702) 382-1244 | Dr Gary E Widdison, DDS
423 N Eastern Ave,
Lv, NV 89101-4026
Ph: (702) 382-1244 |
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