Search › Idaho › 1223G0001X
Shannon Widmier, D.D. S. P.A
NPI 1396842779 · on the registry since 2006
Practice
- Address
- 702 Center Street West
Kimberly, ID 83341 - Phone
- (208) 423-6444
- Fax
- (208) 423-6903
- Organisation at this address
- Kent J Allen/ Shannon Widmier
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho