Organization · Type 2 NPI
Kent J Allen/ Shannon Widmier
General Practice Dentistry · Kimberly, ID
NPI number
1770769325
Active
Practice location
702 Center St W
Kimberly, ID 83341
Fax (208) 423-6903
Mailing address
702 Center Street West, PO Box B
Kimberly, ID 83341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D1767 (CA) |
General Practice Dentistry: 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.
2 other providers at this address
Other general practice dentistry providers in Kimberly
About NPI 1770769325
Kent J Allen/ Shannon Widmier's National Provider Identifier is 1770769325, issued on Jan 14, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kimberly, ID. The record was last updated on Jan 14, 2008.