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Dr. Charles Glenn Widmer , DDS, MS

Dentist β€’ Gainesville, FL

Active NPI 1669439261 Individual Practitioner Male Practitioner
Practice location in NPPES

1600 Sw Archer Rd, D4-4
Gainesville, FL 326103003

Call 3522735800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1600 Sw Archer Rd
D4-4

Gainesville, FL 326103003

Telephone 3522735800
Fax 3523923070
Organization at the Same NPPES Address or Phone
Faculty Associates, Inc Facility NPI 1659322014

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Widmer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Widmer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gainesville and Florida

177 active clinicians are listed under Dentist with a practice address in Gainesville, FL (6,164 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gainesville

0% of these 177 clinicians have the CMS telehealth indicator.

1.7% of these 177 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES FL DN 9021

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORAL SURGERY

Medicare Enrollment ID

I20160425001691

Enrollment State Jurisdiction

FL

PECOS Control ID

2769781822

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

29 listed
Dr. Maria Aguilar , DDS

Dentist - Prosthodontics

NPI 1770737033

Doctor of Dental Surgery

Dr. Prokopios Argyris , DDS, MS, PhD

Dentist - Oral and Maxillofacial Pathology

NPI 1952032484

Doctor of Dental Surgery, Master of Science, Doctor of Philosophy (Ph.D.)

Dr. Dominick Catania , DMD

Dentist - Periodontics

NPI 1275764029

Doctor of Dental Medicine

Dr. Seunghee Cha , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1215192927

Doctor of Dental Surgery

NPI 1255063038
Dr. Kailand Cosgrove , DMD, MS

Dentist - Periodontics

NPI 1831751460

Doctor of Dental Medicine, Master of Science

Career & Practice History

NPI enumerated April 27, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669439261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Other Dentists in Gainesville

All Dentists in Gainesville

Mailing Address

Po Box 100405

Gainesville, FL 326100405

Phone: 3522735696

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.