NPI
Kent J Allen/ Shannon Widmier
Doing business as Pheasant Cove Dental. Phone (208) 423-6444 · Fax (208) 423-6903 · NPI 1770769325
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-01-14
- Last updated
- 2008-01-14
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Specialties
Licenses
- License CA
- D1767
Location
- Practice location
- 702 Center St W
- City
- Kimberly ID
- Postal code
- 83341
- Phone
- (208) 423-6444
- Fax
- (208) 423-6903
Organization contact
- Name
- Kent Allen
- Title
- Owner
- Phone
- (208) 423-6444
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Dentists in Kimberly, ID. 6 with this primary taxonomy in the public file.
Other NPIs in Kimberly, ID. 79 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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