OrganizationActive
Kent J Allen/ Shannon Widmier
NPI 1770769325 · General Practice Dentistry · Kimberly, ID
Kent J Allen/ Shannon Widmier is a General Practice Dentistry organization in Kimberly, ID (NPI 1770769325).
Provider details
- NPI number
- 1770769325
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kent Allen, Owner(208) 423-6444
- License
- D1767 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
702 Center St W
Kimberly, ID 83341
Phone: (208) 423-6444
Fax: (208) 423-6903
Street-level locationGet directions
Mailing address
702 Center Street West
Kimberly, ID 83341
Other names (DBA / former)
- Doing business as
- Pheasant Cove Dental
Registry dates
- Enumerated
- 2008-01-14
- Last updated
- 2008-01-14
Frequently asked questions
- What is Kent J Allen/ Shannon Widmier's NPI number?
- Kent J Allen/ Shannon Widmier's National Provider Identifier (NPI) is 1770769325, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kent J Allen/ Shannon Widmier?
- Kent J Allen/ Shannon Widmier is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kent J Allen/ Shannon Widmier located?
- Kent J Allen/ Shannon Widmier's practice location on file with NPPES is 702 Center St W, Kimberly, ID 83341.
- What is Kent J Allen/ Shannon Widmier's phone number?
- The practice phone number listed in the NPPES registry for Kent J Allen/ Shannon Widmier is (208) 423-6444.
- Who is the authorized official for Kent J Allen/ Shannon Widmier?
- The authorized official listed on Kent J Allen/ Shannon Widmier's NPPES record is Kent Allen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kent J Allen/ Shannon Widmier's NPI active?
- Yes — Kent J Allen/ Shannon Widmier's NPI (1770769325) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.