Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shannon Widmier, DDSPA

Individual provider General Practice Dentistry · NPI 1396842779

Dr. Shannon Widmier, DDSPA is a General Practice Dentistry in Kimberly, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

702 Center St W
Kimberly, ID 83341
Phone: (208) 423-6444
Fax: (208) 423-6903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3342 (ID)

Record details

NPI number1396842779
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSPA
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box B, Kimberly, ID 83341-0010

Other providers in Kimberly