SOUTHSIDE FAMILY AND COSMETIC DENTISTRY
NPI 1295008985
Dentist - General Practice in Colonial Heights, VA

Active since February 12, 2012
3505 BOULEVARD, COLONIAL HEIGHTS, VA 23834(804) 520-5009(804) 520-0901 Get Directions Write a Review

NPPES record last updated: February 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Family And Cosmetic Dentistry NPPES

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

SOUTHSIDE FAMILY AND COSMETIC DENTISTRY (NPI 1295008985) is a healthcare organization registered as a general practice in Colonial Heights, Virginia and active in the NPI registry since February 2012. The organization lists Tonya Adrena Parris-wilkins, President, as its authorized official.

NPPES Registry Identity

NPI1295008985
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHSIDE FAMILY AND COSMETIC DENTISTRY
Location Address3505 BOULEVARDColonial Heights, VA 23834-1319
Mailing Address3505 BoulevardColonial Heights, VA 23834-1319 · (804) 520-5009 · Fax (804) 520-0901
Fax(804) 520-0901
Organization SubpartNo
Authorized OfficialTonya Adrena Parris-wilkinsPresident · (804) 520-5009
Enumeration DateFebruary 12, 2012
NPI 1295008985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401411798
Definition
A 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.
3505 BOULEVARD, Colonial Heights, VA 23834

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

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

Dentist
3505 BOULEVARD
COLONIAL HEIGHTS, VA 23834

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 Family And Cosmetic Dentistry's NPI number?

The NPI number for Southside Family And Cosmetic Dentistry is 1295008985. It was assigned to this organization in the NPPES registry on February 12, 2012.

Where is Southside Family And Cosmetic Dentistry located?

Southside Family And Cosmetic Dentistry is located at 3505 Boulevard, Colonial Heights, VA 23834. The listed phone number is (804) 520-5009.

What is Southside Family And Cosmetic Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Southside Family And Cosmetic Dentistry was last updated on February 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.