IDAHO DENTAL PROFESSIONALS, P.C.
NPI 1376304451
Dentist - General Practice in Meridian, ID

Active since January 17, 2024
283 S TEN MILE RD, MERIDIAN, ID 83642(208) 639-1017(208) 639-1069 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idaho Dental Professionals, P.c. NPPES

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

IDAHO DENTAL PROFESSIONALS, P.C. (NPI 1376304451), doing business as White Pine Dental Care, is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since January 2024. The organization lists Cemyira Mcdougal, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1376304451
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDAHO DENTAL PROFESSIONALS, P.C.
Location Address283 S TEN MILE RDMeridian, ID 83642-6105
Mailing Address283 S Ten Mile RdMeridian, ID 83642-6105 · (208) 639-1017 · Fax (208) 639-1069
Fax(208) 639-1069
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing · (217) 764-8609
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1376304451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
283 S TEN MILE RD, Meridian, ID 83642

Other Names 1

Doing Business AsWhite Pine Dental Care

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
283 S TEN MILE RD
MERIDIAN, ID 83642

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 Idaho Dental Professionals, P.C.'s NPI number?

The NPI number for Idaho Dental Professionals, P.C. is 1376304451. It was assigned to this organization in the NPPES registry on January 17, 2024. The provider is doing business as White Pine Dental Care.

Where is Idaho Dental Professionals, P.C. located?

Idaho Dental Professionals, P.C. is located at 283 S Ten Mile Rd, Meridian, ID 83642. The listed phone number is (208) 639-1017.

What is Idaho Dental Professionals, P.C.'s specialty?

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

What insurance does Idaho Dental Professionals, P.C. accept?

Health plans from UnitedHealthcare list Idaho Dental Professionals, P.C. 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 Idaho Dental Professionals, P.C. was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.