1. Home
  2. Directory
  3. Idaho
  4. Meridian
  5. Dentist
  6. NPI Profile

SIGNATURE DENTAL PC
NPI 1356500318
Dentist - General Practice in Meridian, ID

Active since June 05, 2008
1500 W CAYUSE CREEK DRIVE, SUITE 100, MERIDIAN, ID 83646(208) 884-8858(208) 884-8915 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Signature Dental Pc NPPES

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

SIGNATURE DENTAL PC (NPI 1356500318) is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since June 2008. The organization lists Matthew L Kooyman, Owner, as its authorized official.

NPPES Registry Identity

NPI1356500318
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSIGNATURE DENTAL PC
Location Address1500 W CAYUSE CREEK DRIVE, SUITE 100Meridian, ID 83646
Mailing Address1500 W Cayuse Creek Drive, Suite 100Meridian, ID 83646 · (208) 884-8858
Phone(208) 884-8858
Fax(208) 884-8915
Organization SubpartNo
Authorized OfficialMatthew L KooymanOwner · (208) 884-8858
Enumeration DateJune 5, 2008
✔ NPI 1356500318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3565
Definition
A 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.
1500 W CAYUSE CREEK DRIVE, Meridian, ID 83646
Open in Google Maps ↗

Other Identifiers 1

Other1699782854ID · Type 1 Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dental PC's NPI number?

The NPI number for Signature Dental PC is 1356500318. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Signature Dental PC located?

Signature Dental PC is located at 1500 W Cayuse Creek Drive Suite 100, Meridian, ID 83646. The listed phone number is (208) 884-8858.

What is Signature Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Signature Dental PC was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.