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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
#D-4148 | ID | Dental Providers |
| Street Address |
4207 CLOCKTOWER AVE. |
| City | CALDWELL |
| State | ID |
| Zip Code | 83607-5236 |
| 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 |
| Find all providers in zip 83607 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.