Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326084427 Individual Practitioner Female Practitioner

Dr. Susan Appleberry Widick , DDS

Dentist - General Practice • Independence, MO

Professional Overview & Biography Verified Profile Summary

Dr. Susan Widick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Independence, MO. Practice services are available at 3926 S LYNN CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3926 S Lynn Ct

Independence, MO 640556515

Telephone 8162547800
Fax 8162547803

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Independence, MO (2113 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 15507

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Ks Provider Numbe
700606 (KS)
Commercial Insurance / Payer ID Bcbs Provider Number
19396018 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1639375983

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3926 S LYNN CT, INDEPENDENCE, MO 640556515 (Tel: 8162547800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3926 S LYNN CT, INDEPENDENCE, MO 640556515 (Tel: 8162547800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN WIDICK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #15507 in MO)

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Initial NPI Registration & Enumeration June 20, 2006

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: 1326084427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3926 S Lynn Ct

Independence, MO 640556515

Phone: 8162547800

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.