OrganizationActive
South River Dentistry
NPI 1558812719 · General Practice Dentistry · Midlothian, VA
South River Dentistry is a General Practice Dentistry organization in Midlothian, VA (NPI 1558812719).
Provider details
- NPI number
- 1558812719
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Central Virginia Dental Care
- Organization subpart
- Yes
- Authorized official
- Jefferson Blackburn, Owner(804) 378-7888
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2301 Robious Station Cir
Midlothian, VA 23113-2124
Phone: (804) 378-7888
Street-level locationGet directions
Mailing address
2301 Robious Station Cir
Midlothian, VA 23113-2124
Registry dates
- Enumerated
- 2016-10-21
- Last updated
- 2016-10-21
Frequently asked questions
- What is South River Dentistry's NPI number?
- South River Dentistry's National Provider Identifier (NPI) is 1558812719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South River Dentistry?
- South River Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is South River Dentistry located?
- South River Dentistry's practice location on file with NPPES is 2301 Robious Station Cir, Midlothian, VA 23113-2124.
- What is South River Dentistry's phone number?
- The practice phone number listed in the NPPES registry for South River Dentistry is (804) 378-7888.
- Who is the authorized official for South River Dentistry?
- The authorized official listed on South River Dentistry's NPPES record is Jefferson Blackburn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South River Dentistry's NPI active?
- Yes — South River Dentistry's NPI (1558812719) is active in the NPPES registry as of the last update on 2016-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.