DR. Shannon Widmier, D.D. S. P.A.

NPI #1396842779 in Kimberly, Idaho

Provider Information

NPI Number: 1396842779
Entity Type: Individual
Name: DR. Shannon Widmier, D.D. S. P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D. S. P.A.
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 702 CENTER STREET WEST
City: Kimberly
State: Idaho
ZIP Code: 83341
Phone: (208) 423-6444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Travis Trent Shepherd, DMD	Dentist - General Practice	Kimberly	AI Deep Dive
DR. Kent J. Allen, D.D.S.P.A.	Dentist - General Practice	Kimberly	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Infinity Dental Pllc	Dentist - General Practice	Kimberly	AI Deep Dive
Kent J Allen/ Shannon Widmier	Dentist - General Practice	Kimberly	AI Deep Dive

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