NPI 1053477976

Jason Widner DMD, Ps

Organisation General Practice Dentistry Sammamish, WA

Practice location

Address: 707 228th Ave NE, Sammamish, WA 98074
Phone: (425) 868-0123
Fax: (425) 868-0714
Mailing address: 707 228th Ave NE, Sammamish, WA 98074-7223

Authorised official

Name: Jason Widner
Title: Owner
Phone: (425) 868-0123

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Washington →

Registry record

NPI: 1053477976
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 1 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.