institution
Kent J Allen/ Shannon Widmier
General Practice Dentistry in Kimberly, Idaho
NPI 1770769325

Kent J Allen/ Shannon Widmier is a General Practice Dentistry based in Kimberly, ID and is specialized in General Practice. Kent J Allen/ Shannon Widmier practices in Kimberly, ID. The NPI Number for Kent J Allen/ Shannon Widmier is 1770769325 and holds a License No. D1767 (Idaho).

The current practice location address for Kent J Allen/ Shannon Widmier is 702 Center St W, Kimberly, ID and can be reached out via phone at 208-423-6444 and via fax at 208-423-6903.

Location: 702 Center St W, Kimberly, ID, 83341
institution
Provider Profile Details
NPI Number
1770769325
Provider Name
Kent J Allen/ Shannon Widmier
Credential
Provider Entity Type
Organization
Address
702 Center St W, Kimberly, ID, 83341
Phone Number
208-423-6444
Fax Number
208-423-6903
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000876700 05 ID
9201818 01 ID SMILES
institution
Provider Business Practice Location Address Details
Address
702 Center St W
City
State
Zip
83341
Phone Number
208-423-6444
Fax Number
208-423-6903
person
Provider Business Mailing Address Details
Address
702 Center St W
City
State
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
License No.
D1767 (California)
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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