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IDAHO DENTAL PROFESSIONALS, P.C.
NPI 1982442448
Dentist - General Practice in Meridian, ID

Active since July 18, 2024
4701 S EAGLE RD. STE. 100, MERIDIAN, ID 83642(208) 900-3350(208) 900-3425 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 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 1982442448), doing business as South Corner Dental Care, is a healthcare organization registered as a general practice in Meridian, Idaho and active in the NPI registry since July 2024. The organization lists Cemyira Mcdougal, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1982442448
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDAHO DENTAL PROFESSIONALS, P.C.
Location Address4701 S EAGLE RD. STE. 100Meridian, ID 83642-7563
Mailing Address4701 S Eagle Rd. Ste. 100Meridian, ID 83642-7563 · (208) 900-3350 · Fax (208) 900-3425
Phone(208) 900-3350
Fax(208) 900-3425
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing Coordinator · (217) 764-8609
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1982442448 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.
4701 S EAGLE RD. STE. 100, Meridian, ID 83642
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Other Names 1

Doing Business AsSouth Corner 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

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 1982442448. It was assigned to this organization in the NPPES registry on July 18, 2024. The provider is doing business as South Corner Dental Care.

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

Idaho Dental Professionals, P.C. is located at 4701 S Eagle Rd. Ste. 100, Meridian, ID 83642. The listed phone number is (208) 900-3350.

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.

When was this NPI record last updated?

The NPPES record for Idaho Dental Professionals, P.C. was last updated on July 18, 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.