Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Dental Professionals, PC

Organization General Practice Dentistry · NPI 1376304451

Idaho Dental Professionals, PC is a General Practice Dentistry in Meridian, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

283 S Ten Mile Rd
Meridian, ID 83642-6105
Phone: (208) 639-1017
Fax: (208) 639-1069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1376304451
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho Dental Professionals, PC
Authorized official Cemyira McDougal — Credentialing · (217) 764-8609
Other names White Pine Dental Care
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address283 S Ten Mile Rd, Meridian, ID 83642-6105

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