Southridge Dental is a Dental Clinic in Nampa, Idaho. It is located at 2811 12th Ave Rd, Nampa, ID and its contact number is 208-466-2458. The authorized person for Southridge Dental is Dr. Robert Alan Pratt
who is Dentist of the clinic and their contact number is 208-466-2458. Other organizations associated with this clinic are Southridge Dental, Sleep Right Idaho Pllc, Todd L Squires Ddc Pllc, Southridge Dental, The primary license number for Southridge Dental is D3499 (General Practice) in Idaho.
Southridge Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southridge Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southridge Dental |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2811 12th Ave Rd, Nampa,
Idaho, 83686-8482 |
| Phone: | 208-466-2458 |
| Fax: | 208-465-6303 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Robert Alan Pratt |
| Position: | Dentist |
| Contact Number: | 208-466-2458 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southridge Dental clinic are as mentioned below.
| NPI Number: | 1003010877 |
| NPI Enumeration Date: | 13 Jun, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Southridge Dental | General Practice Dentistry | 1003010877 |
| Sleep Right Idaho Pllc | General Practice Dentistry | 1437660388 |
| Southridge Dental | General Practice Dentistry | 1891954343 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southridge Dental are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D3499 | Idaho | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southridge Dental
2811 12th Ave Rd,
Nampa, Idaho |
| Zip: | 83686-8482 |
| Phone Number: | 208-466-2458 |
| Fax Number: | 208-465-6303 |
Patients can reach Southridge Dental at
2811 12th Ave Rd, Nampa, Idaho or can
call to book an appointment on 208-466-2458.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.