SIGNATURE IDAHO DENTAL PARTNERS PC
NPI 1124755566
Clinic/Center - Dental in Meridian, ID

Active since August 05, 2022
1500 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646(208) 893-5435 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Dec 18, 2024, May 12, 2023 and 1 more (4 updates tracked since 2022).

About Signature Idaho Dental Partners Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE IDAHO DENTAL PARTNERS PC (NPI 1124755566), doing business as Canyon Gate Cosmetic & Family Dentistry, is a healthcare organization registered as a dental in Meridian, Idaho and active in the NPI registry since August 2022. The organization maintains 3 additional practice locations and lists Melody Bennion, Director Of Integrations, as its authorized official.

NPPES Registry Identity

NPI1124755566
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSIGNATURE IDAHO DENTAL PARTNERS PC
Location Address1500 W CAYUSE CREEK DR STE 100Meridian, ID 83646-4757
Mailing Address410 N 44th St Ste 600Phoenix, AZ 85008-7616 · (208) 893-5435
Organization SubpartYesParent: Signature Dental Partners Llc
Authorized OfficialMelody BennionDirector Of Integrations · (480) 234-8490
Enumeration DateAugust 5, 2022
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1124755566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1500 W CAYUSE CREEK DR STE 100, Meridian, ID 83646

Other Names 4

Doing Business AsCanyon Gate Cosmetic & Family Dentistry
Doing Business AsCoeur D'alene Family Dentistry
Doing Business AsLinder Road Family & Cosmetic Dentistry
Doing Business AsRoberts & Hall Dentistry

Secondary Practice Locations 3

Location 1188 River Vista PlTwin Falls, ID 83301-3056 · Phone (208) 733-2090
Location 2256 Martin StTwin Falls, ID 83301-4542 · Phone (208) 733-5346
Location 32201 N Government Way Ste GCoeur D Alene, ID 83814-3658 · Phone (208) 664-9129

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
1500 W CAYUSE CREEK DR STE 100
MERIDIAN, ID 83646
Dentist (Dental Public Health)
1500 W CAYUSE CREEK DR STE 100
MERIDIAN, ID 83646
Dentist (General Practice)
1500 W CAYUSE CREEK DR STE 100
MERIDIAN, ID 83646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Signature Idaho Dental Partners PC's NPI number?

The NPI number for Signature Idaho Dental Partners PC is 1124755566. It was assigned to this organization in the NPPES registry on August 5, 2022. The provider is doing business as Canyon Gate Cosmetic & Family Dentistry, Coeur d'Alene Family Dentistry, Linder Road Family & Cosmetic Dentistry and Roberts & Hall Dentistry.

Where is Signature Idaho Dental Partners PC located?

Signature Idaho Dental Partners PC is located at 1500 W Cayuse Creek Dr Ste 100, Meridian, ID 83646. The listed phone number is (208) 893-5435.

What is Signature Idaho Dental Partners PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Signature Idaho Dental Partners PC accept?

Health plans from UnitedHealthcare list Signature Idaho Dental Partners PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Signature Idaho Dental Partners PC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.