OrganizationActive
Signature Dental PC
NPI 1356500318 · General Practice Dentistry · Meridian, ID
Provider details
- NPI number
- 1356500318
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Matthew Kooyman, Owner(208) 884-8858
- License
- D3565 (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
1500 W Cayuse Creek Drive
Suite 100
Meridian, ID 83646
Phone: (208) 884-8858
Fax: (208) 884-8915
Street-level locationGet directions
Mailing address
1500 W Cayuse Creek Drive
Meridian, ID 83646
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2008-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.