NPI age
17 years
Enumerated 2009-04-06
● Active Type 2 · Organization
Todd L Squires Ddc Pllc
Todd L Squires Ddc Pllc is 1 of 1099 dentist organizations in Idaho.
Primary specialty
Dentist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Squires
Owner
Last NPPES update
2020-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 1099 active dentist providers in Idaho.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2811 12th Ave Rd
Nampa, ID 83686
Mailing address
2811 12th Ave Rd
Nampa, ID 83686
Authorized official
Todd Lawrence Squires, DDS
Owner
📞 8016823097
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Shawn Lee, D.M.D. Dentist NPI 1962714139
- Todd Squires, DDS Dentist NPI 1063894145
Specialties
-
Dentist PrimaryA 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.
-
Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1063894145 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southridge Dental
-
Southridge Dental
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1099 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.