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Contact Information

ROBERT E WIDIS, DDS
5232 ALBEMARLE RD
SUITE C
CHARLOTTE, NC28212-2659
 Phone: 704-536-6774
 Fax: 704-536-5998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ROBERT E WIDIS · (Male)

NPI # 1215090998
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 5062
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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