OrganizationActive
Todd L Squires Ddc PLLC
NPI 1457593584 · General Practice Dentistry · Nampa, ID
Provider details
- NPI number
- 1457593584
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Todd Squires, Owner(801) 682-3097
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 12th Ave Rd
Nampa, ID 83686
Phone: (208) 466-2458
Fax: (208) 465-6303
Street-level locationGet directions
Mailing address
2811 12th Ave Rd
Nampa, ID 83686
Other names (DBA / former)
- Doing business as
- Southridge Dental
- Doing business as
- Southridge Dental
Registry dates
- Enumerated
- 2009-04-06
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.