Jason Widner DMD, PS

General Practice Dentistry · Sammamish, WA

Organization Active NPI

NPI number 1053477976

Practice location

707 228TH Ave NE
Sammamish, WA 98074
Phone
(425) 868-0123
Fax
(425) 868-0714

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NPI record

NPI
1053477976
Entity type
Organization (Type 2)
Enumeration date
December 28, 2006
Last updated
July 1, 2026
Certified
July 1, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

707 228TH Ave NE
Sammamish, WA 98074-7223
Phone
(425) 868-0123
Fax
(425) 868-0714

Authorized official

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

About Jason Widner DMD, PS

Jason Widner DMD, PS is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 707 228TH Ave NE, Sammamish, WA 98074. The NPI number 1053477976 was assigned on December 28, 2006 and the record was last updated on July 1, 2026.

The authorized official for this organization is Jason Widner, DMD, Owner.

Frequently asked questions

What is the NPI number of Jason Widner DMD, PS?

The NPI number is 1053477976.

What is the phone number of Jason Widner DMD, PS?

The phone number listed for the practice location is (425) 868-0123.

Where is Jason Widner DMD, PS located?

707 228TH Ave NE, Sammamish, WA 98074.

What is the taxonomy code for Jason Widner DMD, PS?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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