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Dr. Shannon Widmier, DDSPA
General Practice Dentistry in Kimberly, Idaho
NPI 1396842779

Shannon Widmier is a General Practice Dentistry based in Kimberly, ID and is specialized in General Practice. Shannon Widmier practices in Kimberly, ID and has the professional credentials of DDSPA. The NPI Number for Shannon Widmier is 1396842779 and holds a License No. D3342 (Idaho).

The current practice location address for Shannon Widmier is 702 Center Street West, Kimberly, ID and can be reached out via phone at 208-423-6444 and via fax at 208-423-6903.

Location: 702 Center Street West, Kimberly, ID, 83341-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396842779
Provider Name
Shannon Widmier
Credential
DDSPA
Provider Entity Type
Individual
Gender
Male
Address
702 Center Street West, Kimberly, ID, 83341-0010
Phone Number
208-423-6444
Fax Number
208-423-6903
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
702 Center Street West
City
Kimberly
State
Idaho
Zip
83341
Phone Number
208-423-6444
Fax Number
208-423-6903
person
Provider Business Mailing Address Details
Address
702 Center Street West
City
Kimberly
State
Idaho
Zip
83341
Phone Number
208-423-6444
Fax Number
208-423-6903
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3342 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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