Search › Idaho › 1223G0001X
Matthew Kooyman, DDS
NPI 1699782854 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1500 W Cayuse Creek Dr Ste 100
Meridian, ID 83646 - Phone
- (508) 884-8858
- Fax
- (208) 884-8915
- Organisation at this address
- Signature Dental Pc
Idaho Sleep And Wellness Llc
Signature Idaho Dental Partners Pc
Cr Smiles - Meridian Dental Care LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- ID, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho