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Contact Information

STANTON D WIDMER, DDS
4207 CLOCKTOWER AVE.
CALDWELL, ID83607-5236
 Phone: 208-454-3636
 Fax: 208-454-1333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for STANTON D WIDMER · (Male)

NPI Number 1497918809
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/07/2008
Last updated 07/07/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # #D-4148
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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