Signature Idaho Dental Partners PC

NPI #1124755566 in Meridian, Idaho

Provider Information

NPI Number
1124755566
Entity Type
Organization
Organization Name
Signature Idaho Dental Partners PC
Subpart
Yes (part of a larger organization)
Parent Organization
SIGNATURE DENTAL PARTNERS LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 5, 2022
Last Updated
Nov 5, 2025

Practice Location

Address
1500 W CAYUSE CREEK DR STE 100
State
Idaho
ZIP Code
83646-4757
Phone
(208) 893-5435

Authorized Official

Name
MELODY BENNION
Title
DIRECTOR OF INTEGRATIONS
Phone
(480) 234-8490

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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