Dr. Dane B Widner, DDS
Dentist, General Practice in Saint Marys, OH. Individual provider (NPI-1).
NPI number1881743334
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881743334
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dane B Widner
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 16251 | OH | Yes |
Practice location
142 W Spring StSaint Marys, OH 45885-2312
Phone 419-394-5178 · Fax 419-394-7648
Mailing address
1205 Hawthorne StSaint Marys, OH 45885-1438
Phone 419-394-8889
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