Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STANTON D WIDMER, D.D.S.
Active Sole ProprietorDR. STANTON D WIDMER, D.D.S. is a Endodontics healthcare provider located in CALDWELL, Idaho. NPI 1497918809 is currently active in the NPPES registry. Verify at CMS.
Endodontics · CALDWELL, ID
Registration Details
- NPI Number
- 1497918809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2008 (18.091121573782 yrs)
- Last Updated
- Jul 7, 2008
- License
-
#D-4148 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4207 CLOCKTOWER AVE.CALDWELL, ID, 836075236Browse ID providers · Browse ZIP 83607
- Phone
- 2084543636
- Fax
- 2084541333
- Primary Specialty
-
Endodontics
1223E0200X
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.