Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528753688 Individual Practitioner Male Practitioner

Dr. Caleb Odum Widner , DDS

Dentist - Pediatric Dentistry • Bristol, TN

Professional Overview & Biography Verified Profile Summary

Dr. Caleb Widner, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Bristol, TN. Practice services are available at 350 BLOUNTVILLE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 Blountville Hwy

Bristol, TN 376200213

Telephone 4239689661
Associated Practice Facility / Clinic
🏢 Bristol Surgery Center, Llc Facility NPI 1013964063

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Bristol, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Bristol, TN (240 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: 2025-06-04
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TN 12783

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License VA 0401419359

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Charles Christ , DDS

Dentist - Pediatric Dentistry

NPI 1386625663

Doctor of Dental Surgery

Dr. Todd Pillion , DDS

Dentist - Pediatric Dentistry

NPI 1629088752

Doctor of Dental Surgery

Dr. Jayson Smith , DMD

Dentist - Pediatric Dentistry

NPI 1912174194

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 04, 2025

Registered at 350 BLOUNTVILLE HWY, BRISTOL, TN 376200213 (Tel: 4239689661)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Dentist (License #0401419359 in VA)

NPI Profile Active April 05, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2023

Registered at 6900 FOREST AVE STE 110, RICHMOND, VA 232301730 (Tel: 8048938715)

📍
Updated Business Mailing Address April 05, 2023

Registered at 310 N LINDEN AVE, HENRICO, VA 230751902 (Tel: 2766989908)

👤
Provider Name / Credentials Updated April 05, 2023

Recorded as CALEB WIDNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2023

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: 1528753688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2023
Last Update: June 04, 2025
Sole Proprietor: No

Mailing Address

310 N Linden Ave

Henrico, VA 230751902

Phone: 2766989908

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.