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SOUTHSIDE ORAL & FACIAL SURGERY
NPI 1801067285
Dentist - Oral and Maxillofacial Surgery in Chester, VA

Active since March 13, 2008
11971 IRON BRIDGE RD, CHESTER, VA 23831(804) 717-5275(804) 748-4017 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Oral & Facial Surgery NPPES

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

SOUTHSIDE ORAL & FACIAL SURGERY (NPI 1801067285), doing business as Drs. O'neill, Trotter & Brinser, is a healthcare organization registered as an oral and maxillofacial surgery in Chester, Virginia and active in the NPI registry since March 2008. The organization lists Bradley Scott Trotter, Dentist, as its authorized official.

NPPES Registry Identity

NPI1801067285
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHSIDE ORAL & FACIAL SURGERY
Location Address11971 IRON BRIDGE RDChester, VA 23831-1458
Mailing Address11971 Iron Bridge RdChester, VA 23831-1458 · (804) 717-5275 · Fax (804) 748-4017
Phone(804) 717-5275
Fax(804) 748-4017
Organization SubpartNo
Authorized OfficialBradley Scott TrotterDentist · (804) 717-5275
Enumeration DateMarch 13, 2008
✔ NPI 1801067285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 4685
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
11971 IRON BRIDGE RD, Chester, VA 23831
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Other Names 1

Former Legal Business NameDrs. O'neill, Trotter & Brinser

Other Identifiers 20

Other386684Anthem Bc&bs
Medicare PIN001766B49
Medicare UPINT21340
Medicaid9185611VA
Medicare UPINU89753
Other386686Anthem Bc&bs
Other005298Anthem Bc&bs
Other386682Anthem Bc&bs
Other005299Anthem Bc&bs
Medicare UPINU95426
Medicaid9179952VA
Other219900Anthem Bc&bs
Medicare UPINT21820
Medicaid9202377VA
Medicare PIN190000595
Medicare PIN197612260
Other259641Anthem Bc&bs
Other219899Anthem Bc&bs
Medicaid9185610VA
Medicare PIN850000006

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 3

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

CHESTER ORAL SURGERY, PC
Dentist (Oral and Maxillofacial Surgery)
11971 IRON BRIDGE RD
CHESTER, VA 23831
Chesterfield County (804) 748-6350
DR. PAUL W BRINSER III DDS
Dentist (Oral and Maxillofacial Surgery)
11971 IRON BRIDGE RD
CHESTER, VA 23831
Chesterfield County (804) 717-5275
DR. BRADLEY S TROTTER DDS
Dentist (Oral and Maxillofacial Surgery)
11971 IRON BRIDGE RD
CHESTER, VA 23831
Chesterfield County (804) 717-5275

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 Oral & Facial Surgery's NPI number?

The NPI number for Southside Oral & Facial Surgery is 1801067285. It was assigned to this organization in the NPPES registry on March 13, 2008. The provider was formerly known as Drs. O'neill, Trotter & Brinser.

Where is Southside Oral & Facial Surgery located?

Southside Oral & Facial Surgery is located at 11971 Iron Bridge Rd, Chester, VA 23831. The listed phone number is (804) 717-5275.

What is Southside Oral & Facial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Southside Oral & Facial Surgery was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.