Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Signature Dental PC

Organization General Practice Dentistry · NPI 1356500318

Signature Dental PC provides General Practice Dentistry in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 W Cayuse Creek Dr Ste 100
Meridian, ID 83646 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 884-8858
Fax: (208) 884-8915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D3565 (ID)

Record details

NPI number1356500318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Kooyman — Owner · (208) 884-8858
NPI enumeratedJune 5, 2008
Last updated in NPPESJune 5, 2008
Mailing address1500 W Cayuse Creek Drive, Suite 100, Meridian, ID 83646

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