Signature Dental Pc

LBN: Signature Dental Pc
Signature Dental Pc is an health care organization with primary practice located at 1500 W Cayuse Creek Drive Suite 100, Meridian ID 83646. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Signature Dental Pc can be contacted via phone (208) 884-8858, or through Kooyman, Matthew L via phone (208) 884-8858.

Contact Information

Primary practice address
1500 W Cayuse Creek Drive Suite 100 Meridian ID 83646
Phone: (208) 884-8858
Fax: (208) 884-8915
Website:
Map and Directions
Authorized official contact:
Name: Kooyman, Matthew L Doctor of Dental Surgery (DDS)
Phone: (208) 884-8858

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3565 Idaho

Profile Details

NPI number 1356500318
LBN Legal business name Signature Dental Pc
DBA Doing business as
Authorized official Kooyman, Matthew L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356500318 NPPES
Idaho Other 1699782854 TYPE 1 NPI

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