SOUTHRIDGE DENTAL is a general practice dentist in Nampa, ID. The provider is 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. SOUTHRIDGE DENTAL NPI is 1003010877. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2811 12TH AVE RD
NAMPA, ID
ZIP 83686-482
Phone: (208) 466-2458
Fax: (208) 465-6303
The provider's authorized official is Robert Alan Pratt .
The authorized official title is Dentist and has the following contact phone number (208) 466-2458.
The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2020.