Southridge Dental in Nampa - General Practice
Southridge Dental - NPI 1891954343
Southridge Dental is a General Practice in Nampa, Idaho. Southridge Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Southridge Dental is 1891954343. The last update date is 2008-06-18.
Southridge Dental's current location address is 2811 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084662458 and fax number 2084656303. The mailing address for Southridge Dental is 2811 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southridge Dental |
|---|---|
| Address | 2811 12th Ave Rd, Nampa, Idaho |
| Phone Number | 2084662458 |
| Fax Number | 2084656303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Pratt Alan Robert |
| Credentials | DMD |
| Telephone Number | 2084662458 |
NPI Number Detail
| NPI Number | 1891954343 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 2811 12th Ave Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836868482 |
| Phone Number | 2084662458 |
| Fax Number | 2084656303 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3499 |
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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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Post Comment/ Review Below
What is the Southridge Dental's unique identification number?
The Southridge Dental has been assigned the NPI (National Provider Identifier) Number 1891954343 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Southridge Dental is physically located?
The Southridge Dental is situated at the following address: 2811 12Th Ave Rd, Nampa, ID 836868482.
What is Southridge Dental's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southridge Dental is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Southridge Dental receive its 1891954343 assignment?
The Southridge Dental was assigned its 1891954343 on 2008-06-09, which is the date when this unique identifier was issued to the organization.
When was the Southridge Dental's information last updated?
The Southridge Dental's information was last updated on 2008-06-18.