Signature Dental Pc is a Dental Clinic in Meridian, Idaho. It is located at 1500 W Cayuse Creek Drive, Suite 100, Meridian, ID and its contact number is 208-884-8858. The authorized person for Signature Dental Pc is Mr. Matthew L Kooyman
who is Owner of the clinic and their contact number is 208-884-8858. The primary license number for Signature Dental Pc is D3565 (General Practice) in Idaho.
Signature Dental Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Signature Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Signature Dental Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1500 W Cayuse Creek Drive, Suite 100, Meridian,
Idaho, 83646 |
| Phone: | 208-884-8858 |
| Fax: | 208-884-8915 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Matthew L Kooyman |
| Position: | Owner |
| Contact Number: | 208-884-8858 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Signature Dental Pc clinic are as mentioned below.
| NPI Number: | 1356500318 |
| NPI Enumeration Date: | 05 Jun, 2008 |
| NPI Last Update On: | 05 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Signature Dental Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D3565 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1699782854 | Other | Idaho | Type 1 Npi |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Signature Dental Pc
1500 W Cayuse Creek Drive, Suite 100
Meridian, Idaho |
| Zip: | 83646 |
| Phone Number: | 208-884-8858 |
| Fax Number: | -- |
Patients can reach Signature Dental Pc at
1500 W Cayuse Creek Drive, Suite 100, Meridian, Idaho or can
call to book an appointment on 208-884-8858.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.