Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON WIDMIER, D.D. S. P.A.
ActiveGeneral Dentistry · KIMBERLY, ID
Registration Details
- NPI Number
- 1396842779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.614768724141 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D3342 (ID)
Practice Information
- Address
-
702 CENTER STREET WESTKIMBERLY, ID, 83341Browse ID providers · Browse ZIP 83341
- Phone
- 2084236444
- Fax
- 2084236903
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in KIMBERLY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. KENT J. ALLEN | D.D.S.P.A. | 1407954191 |
| DR. TRAVIS TRENT SHEPHERD | DMD | 1083888580 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.