NPI age
6 years
Enumerated 2020-05-07
● Active Type 2 · Organization
Ikdo South Meridian Llc
Ikdo South Meridian Llc is 1 of 114 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Payne
Owner
Last NPPES update
2020-05-07
Source: monthly bulk 2026-05
How this organization compares
Across 114 active dentist providers in Idaho.
NPI age
6 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3839 E Amity Rd
Meridian, ID 83642
Mailing address
3289 N Towerbridge Way
Meridian, ID 836468347
Authorized official
Michael D Payne, DMD
Owner
📞 2088844466
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
-
DentistThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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