Dr. Jerome Michael Widlow , DDS
Dentist - General Practice • Redding, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Widlow has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerome Widlow, DDS was a registered Dentist - General Practice practicing in Redding, CA. Throughout an active medical career spanning 16 years, Dr. Widlow provided care at the practice location at 3330 CHURN CREEK RD until profile deactivation on 2023-10-13.
Practice Location & Contact Primary Location
3330 Churn Creek Rd
Ste. D-3
Redding, CA 960022532
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Redding, CA
Practicing in Redding, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist
Physician Assistant - Medical
Physician Assistant
Nurse Practitioner - Family
Family Nurse Practitioner
Dentist - General Practice
Doctor of Dental Surgery
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 13, 2023
NPI status registered as active in NPPES database
Registered at 3330 CHURN CREEK RD, STE. D-3, REDDING, CA 960022532 (Tel: 5302241503)
Registered at 3330 CHURN CREEK RD, STE. D-3, REDDING, CA 960022532 (Tel: 5302241503)
Recorded as JEROME WIDLOW, D.D.S.
Dentist (License #B20307 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3330 Churn Creek Rd, Ste. D-3
Redding, CA 960022532
Phone: 5302241503
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