Active NPI
Southside Family and Cosmetic Dentistry
- General Practice Dentistry
- Colonial Heights, VA
National Provider Identifier
1295008985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401411798
- Legal business name
- SOUTHSIDE FAMILY AND COSMETIC DENTISTRY
- Practice address
- 3505 Boulevard
Colonial Heights, VA 23834-1319 - Phone
- (804) 520-5009
- Fax
- (804) 520-0901
- NPI assigned
- Feb 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tonya Adrena Parris-Wilkins, D.D.S.
- Title
- President
- Phone
- (804) 520-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401411798 | VA | Primary |
Addresses
Primary practice location
3505 Boulevard
Colonial Heights, VA 23834-1319
Mailing address
3505 Boulevard
Colonial Heights, VA 23834-1319
Phone (804) 520-5009
National Provider Directory
National Provider DirectoryLocations
3505 Boulevard
Colonial Heights, VA 23834
Phone (804) 520-5009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Williamsburg, VA
- NPI 1689832446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329004800000",
"number": "1295008985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341319",
"telephone_number": "804-520-5009",
"fax_number": "804-520-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 BOULEVARD",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341319",
"telephone_number": "804-520-5009",
"fax_number": "804-520-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHSIDE FAMILY AND COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-12",
"last_updated": "2012-02-12",
"status": "A",
"authorized_official_last_name": "PARRIS-WILKINS",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "ADRENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-520-5009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401411798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
- Vineeta Sood, MD
- Southern Touch Health Care Services, Inc.
- Southpark Heart & Rhythm Center LLC
- Southpark Vascular Center
- Southside Endodontics, PC
- Southside Head N Neck Surgery Professional Corp
- Southside Pediatric Center
- Southside Physician Network LLC
- Southside Women'S Health Care, P.C.
- Zvonko Spasic, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.