Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Odum Widner, DDS

Individual provider Pediatric Dentistry · NPI 1528753688

Caleb Odum Widner, DDS is a Pediatric Dentistry in Bristol, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2023.

Licensed in
TN, VA
In the registry since
2023
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

350 Blountville Hwy
Bristol, TN 37620-0213
Phone: (423) 968-9661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12783 (TN)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 0401419359 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528753688
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address310 N Linden Ave, Henrico, VA 23075-1902

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