Widmer, Stanton D

Widmer, Stanton D is an sole proprietor health care provider with primary practice located at 4207 Clocktower Ave. , Caldwell ID 83607-5236. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Widmer, Stanton D can be contacted via phone (208) 454-3636.

Contact Information

Primary practice address
4207 Clocktower Ave. Caldwell ID 83607-5236
Fax: (208) 454-1333
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X #D-4148 Idaho

Profile Details

NPI number 1497918809
LBN Legal business name Widmer, Stanton D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2008
Last updated Jul 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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