DR. STANTON D WIDMER


Address: 4207 Clocktower Ave., Caldwell, ID 83607-5236
Phone: 2084543636

DR. STANTON D WIDMER (NPI# 1497918809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497918809
Entity Type Individual
Full Name DR. STANTON D WIDMER
Credential D.D.S.
Practice Address 4207 Clocktower Ave.
Caldwell
ID 83607-5236
Practice Telephone 2084543636
Practice Fax Number 2084541333
Mailing Telephone 2084543636
Mailing Fax Number 2084541333
Enumeration Date 2008-07-07
Last Update Date 2008-07-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
#D-4148 ID Dental Providers

Office Location

Street Address 4207 CLOCKTOWER AVE.
City CALDWELL
State ID
Zip Code 83607-5236

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609106012 Cordell Denton Nebeker Dentist 4111 Clocktower Ave., Caldwell, ID 83607 2010-01-07
1265677587 Cory Shane Lindstrom Chiropractor 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 2008-12-16
1154533727 Reality Based Services Case Management 24151 El Paso Rd, Caldwell, ID 83607 2007-05-04
1407998271 Patrick L Waite Dentist 4101 Clock Tower Ave, Caldwell, ID 83607 2007-02-12
1104276377 Jae's Transportaion LLC Non-emergency Medical Transport (VAN) 14310 Tara St, Caldwell, ID 83607-1431 2016-06-17
1417224460 Rebecca Anne Tormey Physical Therapist 1202 Talon Ct, Caldwell, ID 83607-1579 2011-11-18
1174677603 Vallivue School District #139 Local Education Agency (LEA) 5207 S Montana Ave, Caldwell, ID 83607-1583 2007-01-22
1679026447 Kimberly Drewrey, Aprn, Np-c Point of Service 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 2016-07-28
1619007903 Mandy R Redmond Specialist/Technologist 1407 E Homedale Rd, Caldwell, ID 83607-1848 2007-03-06
1326263179 Kira Ann Skroh Specialist/Technologist 1407 E Homedale Rd, Caldwell, ID 83607-1848 2007-04-16
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427618958 Eastern Idaho Endodontics Dentist 3335 S. Holmes Ave, Idaho Falls, ID 83404 2019-06-17
1417353830 Blue Creek Endodontics Dentist 3240 E Louise Dr, Suite 110, Meridian, ID 83642-5107 2014-11-12
1831435460 James Anthony Eaton Dentist 3240 E Louise Dr # 110, Meridian, ID 83642-5107 2013-01-01
1174888473 Dean Philip Whiting Dentist 602 North Calgary Court, 301, Post Falls, ID 83854 2012-07-12
1437455961 Herbert Ray Blaser Dentist 2104 N. Cole Rd., Boise, ID 83704 2011-02-01
1295035020 Dustin Lee Gatten Dentist 602 N Calgary Ct Ste 301, Post Falls, ID 83854-4000 2010-10-27
1275848582 Shaun Michael Whitney Dentist 1322 W Kathleen Ave Ste 2, Coeur D Alene, ID 83815-7365 2010-08-11
1912113036 Matthew R Buhrley Dentist 742 W Cherry Ln, Meridian, ID 83642-1617 2007-05-15
1659590693 Bart Baty Morrison Dentist 3335 S Holmes Ave, Idaho Falls, ID 83404-7981 2007-04-25
1396961157 Larue Antoine Bluth Dentist 5244 N Eagle Rd, Boise, ID 83713-0945 2007-04-18
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Competitor

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City CALDWELL
Zip Code 83607

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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