OrganizationActive
Southside Dental PC
NPI 1235314667 · Dentist · Salem, OR
Provider details
- NPI number
- 1235314667
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Owens, Doctor(503) 763-9797
- License
- D7830 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3460 Liberty Rd S
Salem, OR 97302-4607
Phone: (503) 763-9797
Fax: (503) 763-9779
Street-level locationGet directions
Mailing address
3460 Liberty Rd S
Salem, OR 97302-4607
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.