SOUTHRIDGE DENTAL
NPI 1487159331
Dentist in Kennewick, WA

Active since March 23, 2018
3911 W 27TH AVE STE 105, KENNEWICK, WA 99337(509) 581-0081(509) 591-9888 Get Directions Write a Review

NPPES record last updated: March 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southridge Dental NPPES

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

SOUTHRIDGE DENTAL (NPI 1487159331) is a healthcare organization registered as a dentist in Kennewick, Washington and active in the NPI registry since March 2018. The organization lists Sean F.m. Simper, Owner, Dentist, as its authorized official.

NPPES Registry Identity

NPI1487159331
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTOTAL CARE DENTAL PLLC
Location Address3911 W 27TH AVE STE 105Kennewick, WA 99337-2483
Mailing Address3911 W 27th Ave Ste 105Kennewick, WA 99337-2483 · (509) 581-0081 · Fax (509) 591-9888
Fax(509) 591-9888
Organization SubpartNo
Authorized OfficialSean F.m. SimperOwner, Dentist · (509) 581-0081
Enumeration DateMarch 23, 2018
NPI 1487159331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE60023578
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3911 W 27TH AVE STE 105, Kennewick, WA 99337

Other Names 1

Doing Business AsSouthridge Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
3911 W 27TH AVE STE 105
KENNEWICK, WA 99337
Clinic/Center (Dental)
3911 W 27TH AVE STE 105
KENNEWICK, WA 99337
Dentist
3911 W 27TH AVE STE 105
KENNEWICK, WA 99337
Dentist (Pediatric Dentistry)
3911 W 27TH AVE STE 105
KENNEWICK, WA 99337

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 Total Care Dental PLLC's NPI number?

The NPI number for Total Care Dental PLLC is 1487159331. It was assigned to this organization in the NPPES registry on March 23, 2018. The provider is doing business as Southridge Dental.

Where is Total Care Dental PLLC located?

Total Care Dental PLLC is located at 3911 W 27th Ave Ste 105, Kennewick, WA 99337. The listed phone number is (509) 581-0081.

What is Total Care Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Total Care Dental PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare list Total Care Dental 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 Total Care Dental PLLC was last updated on March 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.