Southside Endodontics, Pc in Colonial Heights - Endodontics
Southside Endodontics, Pc - NPI 1053494260
Southside Endodontics, Pc is a Endodontics in Colonial Heights, Virginia. Southside Endodontics, Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Southside Endodontics, Pc is 1053494260. The last update date is 2009-03-06.
Southside Endodontics, Pc's current location address is 2425 Boulevard, Colonial Heights, Virginia. You can contact this provider via phone number 8045200000 and fax number 8045202111. The mailing address for Southside Endodontics, Pc is 2425 Boulevard, Colonial Heights, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Endodontics, Pc |
|---|---|
| Address | 2425 Boulevard, Colonial Heights, Virginia |
| Phone Number | 8045200000 |
| Fax Number | 8045202111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Oertel Rives Ellen |
| Credentials | DDS |
| Telephone Number | 8045200000 |
NPI Number Detail
| NPI Number | 1053494260 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2009-03-06 |
Provider Mailing Address Detail
| Address | 2425 Boulevard |
|---|---|
| City | Colonial Heights |
| State | Virginia (VA) |
| Post Code | 238342324 |
| Phone Number | 8045200000 |
| Fax Number | 8045202111 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 401007706 |
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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 eti |
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Post Comment/ Review Below
What is the unique identifier code issued to Southside Endodontics, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southside Endodontics, Pc has been assigned the NPI (National Provider Identifier) 1053494260. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Southside Endodontics, Pc?
The Southside Endodontics, Pc is physically situated at 2425 Boulevard, in the city of Colonial Heights, state of VA, with the postal code 238342324.
What is the area of specialization for Southside Endodontics, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southside Endodontics, Pc is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Southside Endodontics, Pc receive the assignment of its 1053494260 from the Centers for Medicare & Medicaid Services?
The Southside Endodontics, Pc was issued its 1053494260 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date was the information regarding Southside Endodontics, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southside Endodontics, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-03-06.