OrganizationActive
Southern Ohio Endodontics Clinic, LLC
NPI 1619091568 · Endodontics · Chillicothe, OH
Southern Ohio Endodontics Clinic, LLC is a Endodontics organization in Chillicothe, OH (NPI 1619091568).
Provider details
- NPI number
- 1619091568
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Deron Reisman, President(740) 774-6230
- License
- 20157 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
31 N Plaza Blvd
Chillicothe, OH 45601-1759
Phone: (740) 774-6230
Fax: (740) 774-6326
Approximate (ZIP-level) locationGet directions
Mailing address
31 N Plaza Blvd
Chillicothe, OH 45601-1759
Registry dates
- Enumerated
- 2007-03-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southern Ohio Endodontics Clinic, LLC's NPI number?
- Southern Ohio Endodontics Clinic, LLC's National Provider Identifier (NPI) is 1619091568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Ohio Endodontics Clinic, LLC?
- Southern Ohio Endodontics Clinic, LLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Southern Ohio Endodontics Clinic, LLC located?
- Southern Ohio Endodontics Clinic, LLC's practice location on file with NPPES is 31 N Plaza Blvd, Chillicothe, OH 45601-1759.
- What is Southern Ohio Endodontics Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Ohio Endodontics Clinic, LLC is (740) 774-6230.
- Who is the authorized official for Southern Ohio Endodontics Clinic, LLC?
- The authorized official listed on Southern Ohio Endodontics Clinic, LLC's NPPES record is Deron Reisman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Ohio Endodontics Clinic, LLC's NPI active?
- Yes — Southern Ohio Endodontics Clinic, LLC's NPI (1619091568) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.