OrganizationActive
Southside Endodontics, PC
NPI 1053494260 · Endodontics · Colonial Heights, VA
Southside Endodontics, PC is a Endodontics organization in Colonial Heights, VA (NPI 1053494260).
Provider details
- NPI number
- 1053494260
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Ellen Oertel, Owner(804) 520-0000
- License
- 401007706 (VA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2425 Boulevard
Suite 8
Colonial Heights, VA 23834-2324
Phone: (804) 520-0000
Fax: (804) 520-2111
Street-level locationGet directions
Mailing address
2425 Boulevard
Colonial Heights, VA 23834-2324
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2009-03-06
Frequently asked questions
- What is Southside Endodontics, PC's NPI number?
- Southside Endodontics, PC's National Provider Identifier (NPI) is 1053494260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Endodontics, PC?
- Southside Endodontics, PC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Southside Endodontics, PC located?
- Southside Endodontics, PC's practice location on file with NPPES is 2425 Boulevard, Colonial Heights, VA 23834-2324.
- What is Southside Endodontics, PC's phone number?
- The practice phone number listed in the NPPES registry for Southside Endodontics, PC is (804) 520-0000.
- Who is the authorized official for Southside Endodontics, PC?
- The authorized official listed on Southside Endodontics, PC's NPPES record is Ellen Oertel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Endodontics, PC's NPI active?
- Yes — Southside Endodontics, PC's NPI (1053494260) is active in the NPPES registry as of the last update on 2009-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.