Organization · Type 2 NPI

Southridge Dental

General Practice Dentistry · Nampa, ID

NPI number 1003010877 Active

Practice location

2811 12th Ave Rd
Nampa, ID 83686-8482

Call (208) 466-2458 Map

Fax (208) 465-6303

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD3499 (ID)

General Practice Dentistry: A 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.

6 other providers at this address

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About NPI 1003010877

Southridge Dental's National Provider Identifier is 1003010877, issued on Jun 13, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Nampa, ID. The record was last updated on Aug 22, 2020.