Organization · Type 2 NPI
Roots Dental PLLC
General Practice Dentistry · Meridian, ID
NPI number
1851005904
Active
Practice location
6291 N Fox Run Way Ste 120
Meridian, ID 83646-6791
Mailing address
5436 N Exeter Way
Meridian, ID 83646-4691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
| Customized Equipment (DME) | 332BC3200X | None listed |
General Practice Dentistry: 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.
Another provider at this address
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About NPI 1851005904
Roots Dental PLLC's National Provider Identifier is 1851005904, issued on Jan 12, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Meridian, ID. The record was last updated on Jan 9, 2026.