MERIDIAN PEDIATRIC DENTISTRY, PLLC
NPI 1811156722
Dentist - Pediatric Dentistry in Meridian, ID

Q: What is Meridian Pediatric Dentistry, PLLC's NPI number?

The NPI number for Meridian Pediatric Dentistry, PLLC is 1811156722. It was assigned to this organization in the NPPES registry on June 5, 2008.

Q: What is Meridian Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 05, 2008

1550 E HERITAGE PARK ST STE 150, MERIDIAN, ID 83646(208) 288-2719(208) 288-2579 Get Directions Write a Review

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

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About Meridian Pediatric Dentistry, Pllc NPPES

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

MERIDIAN PEDIATRIC DENTISTRY, PLLC (NPI 1811156722) is a healthcare organization registered as a pediatric dentistry in Meridian, Idaho and active in the NPI registry since June 2008. The organization lists Toby Merriman, Owner, as its authorized official.

NPPES Registry Identity

NPI1811156722

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMERIDIAN PEDIATRIC DENTISTRY, PLLC

Location Address1550 E HERITAGE PARK ST STE 150Meridian, ID 83646-5886

Mailing Address1550 E Heritage Park St Ste 150Meridian, ID 83646-5886 · (208) 288-2719 · Fax (208) 288-2579

Phone(208) 288-2719

Fax(208) 288-2579

Organization SubpartNo

Authorized OfficialToby MerrimanOwner · (208) 288-2719

Enumeration DateJune 5, 2008

✔ NPI 1811156722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in ID · D-3592-PD

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1550 E HERITAGE PARK ST STE 150, Meridian, ID 83646

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Other Identifiers 1

Medicaid806274800ID

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

Other Providers at the Same Location NPPES

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

CSC DENTAL PC

Clinic/Center (Dental)

1550 E HERITAGE PARK ST STE 150
MERIDIAN, ID 83646

Ada County (208) 288-2719

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 Meridian Pediatric Dentistry, PLLC's NPI number?

The NPI number for Meridian Pediatric Dentistry, PLLC is 1811156722. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Meridian Pediatric Dentistry, PLLC located?

Meridian Pediatric Dentistry, PLLC is located at 1550 E Heritage Park St Ste 150, Meridian, ID 83646. The listed phone number is (208) 288-2719.

What is Meridian Pediatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Meridian Pediatric Dentistry, PLLC 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.