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

Krystle Grandberry Widen, DMD

Individual provider General Practice Dentistry · NPI 1063942159

Krystle Grandberry Widen, DMD is a General Practice Dentistry in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1113 Chicago Ave
Oak Park, IL 60302-1803
Phone: (708) 383-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.033543 (IL)

Record details

NPI number1063942159
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

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