DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHRIDGE DENTAL

Active Organization

SOUTHRIDGE DENTAL is a General Dentistry organization located in NAMPA, Idaho. NPI 1003010877 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · NAMPA, ID

Registration Details

NPI Number
1003010877
Provider Type
Organization
NPI Issued
Jun 13, 2007 (19.125838656423 yrs)
Last Updated
Aug 22, 2020
License
D3499 (ID)

Practice Information

Address
2811 12TH AVE RD
NAMPA, ID, 836868482
Browse ID providers · Browse ZIP 83686
Phone
2084662458
Fax
2084656303
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in NAMPA, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.