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Southridge Dental
General Practice Dentistry in Nampa, Idaho
NPI 1003010877

Southridge Dental is a General Practice Dentistry based in Nampa, ID and is specialized in General Practice. Southridge Dental practices in Nampa, ID. The NPI Number for Southridge Dental is 1003010877 and holds a License No. D3499 (Idaho).

The current practice location address for Southridge Dental is 2811 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-466-2458 and via fax at 208-465-6303. You can also correspond with Southridge Dental through the mailing address at 2811 12TH AVE RD, NAMPA, ID - 83686-8482 (mailing address contact number: 208-466-2458).

Location: 2811 12Th Ave Rd, Nampa, ID, 83686-8482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003010877
Provider Name
Southridge Dental
Credential
Provider Entity Type
Organization
Address
2811 12Th Ave Rd, Nampa, ID, 83686-8482
Phone Number
208-466-2458
Fax Number
208-465-6303
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2811 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-8482
Phone Number
208-466-2458
Fax Number
208-465-6303
person
Provider Business Mailing Address Details
Address
2811 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-8482
Phone Number
208-466-2458
Fax Number
208-465-6303
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D3499 (Idaho)
Definition
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.
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