Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164139002 Individual Practitioner Male Practitioner

Dr. Andrew Geoffrey Widdifield , DMD

Dentist - General Practice • South Gate, CA

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Widdifield, DMD is a registered healthcare professional specializing in Dentist - General Practice in South Gate, CA. Practice services are available at 4444 TWEEDY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4444 Tweedy Blvd

South Gate, CA 902806304

Telephone 3235642444
Associated Practice Facility / Clinic
🏢 Scott Jacks Dds Inc Facility NPI 1366549545

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Gate, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
31 Specialists

Practicing in South Gate, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 108329

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

19 Associated Practitioners
Dr. Namie Kong , DMD

Dentist - Pediatric Dentistry

NPI 1013297795

Doctor of Dental Medicine

Dr. Sabina Wiederkehr , DDS

Dentist - General Practice

NPI 1043356728

Doctor of Dental Surgery

Dr. Irina Tarnavsky , DDS

Dentist - General Practice

NPI 1194861872

Doctor of Dental Surgery

NPI 1295871986

Doctor of Dental Surgery

NPI 1306173158

Doctor of Dental Surgery

NPI 1356953517

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2022

Registered at 4444 TWEEDY BLVD, SOUTH GATE, CA 902806304 (Tel: 3235642444)

📍
Updated Business Mailing Address October 31, 2022

Registered at 7521 EDINGER AVE UNIT 4601, HUNTINGTON BEACH, CA 926470614 (Tel: 4015951298)

👤
Provider Name / Credentials Updated October 31, 2022

Recorded as ANDREW WIDDIFIELD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Dentist (License #108329 in CA)

🟢
Initial NPI Registration & Enumeration October 31, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164139002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2022
Last Update: October 31, 2022
Sole Proprietor: No

Mailing Address

7521 Edinger Ave Unit 4601

Huntington Beach, CA 926470614

Phone: 4015951298

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.