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Organization
SIGNATURE IDAHO DENTAL PARTNERS PC
Active
Organization
SIGNATURE IDAHO DENTAL PARTNERS PC
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Roberts & Hall Dentistry, Coeur d'Alene Family Dentistry, Canyon Gate Cosmetic & Family Dentistry, Linder Road Family & Cosmetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
1500 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-4757
(208) 893-5435
Mailing address
410 N 44TH ST STE 600, PHOENIX, AZ 85008-7616
(208) 893-5435
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
11/05/2025
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