Organization · Type 2 NPI

Signature Idaho Dental Partners PC

Dental Clinic/Center · Meridian, ID

NPI number 1124755566 Active

Practice location

1500 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-4757

Call (208) 893-5435 Map

Mailing address

410 N 44th St Ste 600
Phoenix, AZ 85008-7616

Other practice locations

256 Martin St, Twin Falls, ID 83301-4542 · (208) 733-5346
188 River Vista Pl, Twin Falls, ID 83301-3056 · (208) 733-2090
2201 N Government Way Ste G, Coeur D Alene, ID 83814-3658 · (208) 664-9129

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

Other dental clinic/center providers in Meridian

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NPI record

NPI: 1124755566
Entity type: Organization (Type 2)
Issued: Aug 5, 2022
Last updated: Nov 5, 2025
Status: Active
Subpart: Yes of Signature Dental Partners LLC

Other names

<unavail>
Canyon Gate Cosmetic & Family Dentistry · doing business as
Coeur D'alene Family Dentistry · doing business as
Linder Road Family & Cosmetic Dentistry · doing business as
Linder Road Family & Cosmetic Dentistry · doing business as
Roberts & Hall Dentistry · doing business as

Authorized official

Melody Bennion
Director of Integrations
(480) 234-8490

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124755566

Signature Idaho Dental Partners PC's National Provider Identifier is 1124755566, issued on Aug 5, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Meridian, ID. The record was last updated on Nov 5, 2025.