SOUTHSIDE DENTAL ASSOCIATES PC
NPI 1477792414
Clinic/Center - Dental in Petersburg, VA

Q: What is Southside Dental Associates PC's NPI number?

The NPI number for Southside Dental Associates PC is 1477792414. It was assigned to this organization in the NPPES registry on February 16, 2009.

Q: What is Southside Dental Associates PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since February 16, 2009

3277 S CRATER RD, PETERSBURG, VA 23805(804) 732-5776(804) 732-5782 Get Directions Write a Review

NPPES record last updated: February 16, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Southside Dental Associates Pc NPPES

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

SOUTHSIDE DENTAL ASSOCIATES PC (NPI 1477792414) is a healthcare organization registered as a dental in Petersburg, Virginia and active in the NPI registry since February 2009. The organization lists William B Munn, Owner, as its authorized official.

NPPES Registry Identity

NPI1477792414

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSOUTHSIDE DENTAL ASSOCIATES PC

Location Address3277 S CRATER RDPetersburg, VA 23805-9285

Mailing Address3277 S Crater RdPetersburg, VA 23805-9285 · (804) 732-5776 · Fax (804) 732-5782

Phone(804) 732-5776

Fax(804) 732-5782

Organization SubpartNo

Authorized OfficialWilliam B MunnOwner · (804) 732-5776

Enumeration DateFebruary 16, 2009

✔ NPI 1477792414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

3277 S CRATER RD, Petersburg, VA 23805

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Other Providers at the Same Location NPPES 3

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

DR. MARK PHILLIP GERALD D.D.S.

Dentist (General Practice)

3277 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 732-5776

DR. JOHN SIMPSON REYNOLDS DDS

Dentist

3277 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 732-5776

PETERSBURG DERMATOLOGY, PC

Clinic/Center (Medical Specialty)

3277 S CRATER RD
PETERSBURG, VA 23805

Petersburg City (804) 861-5555

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 Dental Associates PC's NPI number?

The NPI number for Southside Dental Associates PC is 1477792414. It was assigned to this organization in the NPPES registry on February 16, 2009.

Where is Southside Dental Associates PC located?

Southside Dental Associates PC is located at 3277 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 732-5776.

What is Southside Dental Associates PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southside Dental Associates PC was last updated on February 16, 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.