OrganizationActive
Willow Tree Dental Group LLC
NPI 1093974446 · Periodontics · Meridian, ID
Willow Tree Dental Group LLC is a Periodontics organization in Meridian, ID (NPI 1093974446).
Provider details
- NPI number
- 1093974446
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Parent organization
- Willow Tree Dental Group LLC
- Organization subpart
- Yes
- Authorized official
- Shannon Love, Financial Manager(208) 472-7817
- License
- D3443 (ID)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
317 W Cherry Ln
Meridian, ID 83642-1608
Phone: (208) 472-7817
Fax: (208) 345-2601
Street-level locationGet directions
Mailing address
317 W Cherry Ln
Meridian, ID 83642-1608
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2008-06-02
Frequently asked questions
- What is Willow Tree Dental Group LLC's NPI number?
- Willow Tree Dental Group LLC's National Provider Identifier (NPI) is 1093974446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Tree Dental Group LLC?
- Willow Tree Dental Group LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Willow Tree Dental Group LLC located?
- Willow Tree Dental Group LLC's practice location on file with NPPES is 317 W Cherry Ln, Meridian, ID 83642-1608.
- What is Willow Tree Dental Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Tree Dental Group LLC is (208) 472-7817.
- Who is the authorized official for Willow Tree Dental Group LLC?
- The authorized official listed on Willow Tree Dental Group LLC's NPPES record is Shannon Love, Financial Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Tree Dental Group LLC's NPI active?
- Yes — Willow Tree Dental Group LLC's NPI (1093974446) is active in the NPPES registry as of the last update on 2008-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.