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SOUTHRIDGE DENTAL
NPI 1457593584
Dentist - General Practice in Nampa, ID

Active since April 06, 2009
2811 12TH AVE RD, NAMPA, ID 83686(208) 466-2458(208) 465-6303 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southridge Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHRIDGE DENTAL (NPI 1457593584) is a healthcare organization registered as a general practice in Nampa, Idaho and active in the NPI registry since April 2009. The organization lists Todd Lawrence Squires, Owner, as its authorized official.

NPPES Registry Identity

NPI1457593584
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTODD L SQUIRES DDC PLLC
Location Address2811 12TH AVE RDNampa, ID 83686
Mailing Address2811 12th Ave RdNampa, ID 83686 · (208) 466-2458 · Fax (208) 465-6303
Phone(208) 466-2458
Fax(208) 465-6303
Organization SubpartNo
Authorized OfficialTodd Lawrence SquiresOwner · (801) 682-3097
Enumeration DateApril 6, 2009
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1457593584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
2811 12TH AVE RD, Nampa, ID 83686
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Other Names 1

Doing Business AsSouthridge Dental

Other Identifiers 1

Medicaid1063894145ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHRIDGE DENTAL
Dentist (General Practice)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 466-2458
TODD SQUIRES DDS
Dentist (General Practice)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 466-2458
SLEEP RIGHT IDAHO PLLC
Dentist (General Practice)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 466-2458
KELLY E. CARLEN, DDS PLLC
Clinic/Center (Dental)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 461-1060
SOUTHRIDGE DENTAL
Dentist (General Practice)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 466-2458
DR. SHAWN D LEE D.M.D.
Dentist (General Practice)
2811 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 466-2458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd L Squires Ddc PLLC's NPI number?

The NPI number for Todd L Squires Ddc PLLC is 1457593584. It was assigned to this organization in the NPPES registry on April 6, 2009. The provider is doing business as Southridge Dental.

Where is Todd L Squires Ddc PLLC located?

Todd L Squires Ddc PLLC is located at 2811 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 466-2458.

What is Todd L Squires Ddc PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Todd L Squires Ddc PLLC accept?

Health plans from UnitedHealthcare list Todd L Squires Ddc PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Todd L Squires Ddc PLLC was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.