PAYTON SOUTHALL, DDS, PLLC
NPI 1033963020
Dentist - Pediatric Dentistry in Beckley, WV

Active since April 15, 2024
220 RAGLAND RD, BECKLEY, WV 25801(304) 252-0472 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Payton Southall, Dds, Pllc NPPES

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

PAYTON SOUTHALL, DDS, PLLC (NPI 1033963020) is a healthcare organization registered as a pediatric dentistry in Beckley, West Virginia and active in the NPI registry since April 2024. The organization lists Payton Southall, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1033963020
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePAYTON SOUTHALL, DDS, PLLC
Location Address220 RAGLAND RDBeckley, WV 25801-9721
Mailing Address323 Shawnee CirMount Hope, WV 25880-8988
Organization SubpartNo
Authorized OfficialPayton SouthallPediatric Dentist · (304) 252-0472
Enumeration DateApril 15, 2024
Last NPPES UpdateMay 5, 20242 updates tracked since enumeration
NPPES CertifiedMay 5, 2024
NPI 1033963020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

220 RAGLAND RD, Beckley, WV 25801

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

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 (Pediatric Dentistry)
220 RAGLAND RD
BECKLEY, WV 25801
Dentist
220 RAGLAND RD
BECKLEY, WV 25801
Dentist
220 RAGLAND RD
BECKLEY, WV 25801
Dentist (General Practice)
220 RAGLAND RD
BECKLEY, WV 25801

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 Payton Southall, Dds, PLLC's NPI number?

The NPI number for Payton Southall, Dds, PLLC is 1033963020. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Payton Southall, Dds, PLLC located?

Payton Southall, Dds, PLLC is located at 220 Ragland Rd, Beckley, WV 25801. The listed phone number is (304) 252-0472.

What is Payton Southall, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Payton Southall, Dds, PLLC was last updated on May 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.