NPI age
17 years
Enumerated 2008-06-05
● Active Type 2 · Organization
Signature Dental Pc
Signature Dental Pc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kooyman
Owner
Last NPPES update
2008-06-05
Source: monthly bulk 2026-05
How this organization compares
Across 1099 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
1500 W Cayuse Creek Drive, Suite 100
Meridian, ID 83646
Mailing address
1500 W Cayuse Creek Drive, Suite 100
Meridian, ID 83646
Authorized official
Matthew L Kooyman, DDS
Owner
📞 2088848858
Specialties
-
Dentist PrimaryA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1699782854 | TYPE 1 NPI |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.