Signature Dental Pc | |
1500 W Cayuse Creek Drive Suite 100 Meridian ID 83646 | |
(208) 884-8858 | |
(208) 884-8915 |
Full Name | Signature Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 1500 W Cayuse Creek Drive, Meridian, Idaho |
Authorized Official Name and Position | Matthew L Kooyman (OWNER) |
Authorized Official Contact | 2088848858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Signature Dental Pc 1500 W Cayuse Creek Drive Suite 100 Meridian ID 83646 Ph: (208) 884-8858 | Signature Dental Pc 1500 W Cayuse Creek Drive Suite 100 Meridian ID 83646 Ph: (208) 884-8858 |
NPI Number | 1356500318 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356500318 | NPI | - | NPPES |
1699782854 | Other | ID | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3565 (Idaho) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |