NPI age
18 years
Enumerated 2008-01-14
● Active Type 2 · Organization
Kent J Allen/ Shannon Widmier
Kent J Allen/ Shannon Widmier is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
Owner
Last NPPES update
2008-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-01Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
702 Center St W
Kimberly, ID 83341
Mailing address
702 Center Street West, Po Box B
Kimberly, ID 83341
Authorized official
Kent J Allen, D.D.S.
Owner
📞 2084236444
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Danton Bradshaw, D.D.S. Dentist NPI 1730575671
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 000876700 | |
| 01 (ID) | 9201818 | SMILES |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PHEASANT COVE DENTAL
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.