Implant SpecialistFinder

Willow Tree Dental Group LLC

Periodontics practice in Meridian, ID

Registered specialistLicense # listed (ID)

Call (208) 472-7817Send a messageMap ↗

Public-record details

Address
317 W Cherry Ln, Meridian, ID 83642
Phone
(208) 472-7817
Listed under
Periodontists, Specialty practices
NPI
1093974446
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Periodontics (1223P0300X)
License number on NPI record
D3443 (ID)
Authorized official
Shannon Love, Financial Manager
NPI first issued
Jun 2, 2008
NPI record last updated
Jun 2, 2008

NPI 1093974446 is active in the federal NPPES registry (CMS) with Periodontics, an ADA-recognized dental specialty, as its primary taxonomy; license D3443 (ID) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Periodontists specialize in the gums and bone that support the teeth, including placing implants, gum and bone grafting, and treating gum disease. Dentists who are not specialists can also place implants; the specialty here is the one the provider registered as primary.

View NPI 1093974446 in the official registry ↗

Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Prosthodontics, the American Board of Oral and Maxillofacial Surgery and the American Board of Periodontology each list their board-certified members.

Other implant specialists in Meridian

All 7 in Meridian →