NPI age
17 years
Enumerated 2008-06-02
● Active Type 2 · Organization
Subpart
Willow Tree Dental Group Llc
Willow Tree Dental Group Llc is 1 of 37 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Love
Financial Manager
Last NPPES update
2008-06-02
Source: monthly bulk 2026-05
How this organization compares
Across 37 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
317 W Cherry Ln
Meridian, ID 836421608
Mailing address
317 W Cherry Ln
Meridian, ID 836421608
Authorized official
Shannon Love
Financial Manager
📞 2084727817
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Jethe Abraham, D.D.S. Dentist NPI 1629265442
- John Adams, DDS Dentist NPI 1760553879
- Robert Hendricks, DDS Dentist NPI 1598836694
- Julie Hess, DMD Dentist NPI 1053482158
- Blake Imam, DMD Dentist NPI 1285040394
- Marivin Oto, DDS Dentist NPI 1023189131
- Bruce Richardson, D.D.S. Dentist NPI 1306959424
- William Ritter, DDS Dentist NPI 1669643425
- Matthew Tuft, DDS Dentist NPI 1083802268
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
Subpart of Willow Tree Dental Group Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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