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SOUTHSIDE ENDODONTICS, PC
NPI 1053494260
Dentist - Endodontics in Colonial Heights, VA

Active since October 23, 2006
2425 BOULEVARD, SUITE 8, COLONIAL HEIGHTS, VA 23834(804) 520-0000(804) 520-2111 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Southside Endodontics, Pc NPPES

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

SOUTHSIDE ENDODONTICS, PC (NPI 1053494260) is a healthcare organization registered as an endodontics in Colonial Heights, Virginia and active in the NPI registry since October 2006. The organization lists Ellen Rives Oertel, Owner, as its authorized official.

NPPES Registry Identity

NPI1053494260
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSOUTHSIDE ENDODONTICS, PC
Location Address2425 BOULEVARD, SUITE 8Colonial Heights, VA 23834-2324
Mailing Address2425 Boulevard, Suite 8Colonial Heights, VA 23834-2324 · (804) 520-0000 · Fax (804) 520-2111
Phone(804) 520-0000
Fax(804) 520-2111
Organization SubpartNo
Authorized OfficialEllen Rives OertelOwner · (804) 520-0000
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 6, 2009
✔ NPI 1053494260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in VA · 401007706
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2425 BOULEVARD, Colonial Heights, VA 23834
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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 2

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

DR. ELLEN RIVES OERTEL D.D.S., M.S.
Dentist (Endodontics)
2425 BOULEVARD, SUITE 8
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-0000
CALDWELL PEDIATRICS AND WELLNESS CENTER PC
Pediatrics
2425 BOULEVARD, SUITE #6
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 520-0002

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 Southside Endodontics, PC's NPI number?

The NPI number for Southside Endodontics, PC is 1053494260. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Southside Endodontics, PC located?

Southside Endodontics, PC is located at 2425 Boulevard Suite 8, Colonial Heights, VA 23834. The listed phone number is (804) 520-0000.

What is Southside Endodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Southside Endodontics, PC was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.