Southside Endodontics, PC
NPI 1053494260ActiveOrganization· Dentist, Endodontics· Colonial Heights, VA
Dentist, Endodontics in Colonial Heights, Virginia, registered in NPPES in October 2006. The authorized official on file is Ellen Rives Oertel, DDS, Owner.
Overview
| NPI | 1053494260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Mar 6, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 401007706 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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