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South River Dentistry

General Practice Dentistry in Midlothian, VA · enumerated 2016 · authorized official Jefferson Blackburn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558812719

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Registry record

Entity type Organization (Type 2)
Legal business name South River Dentistry
Parent organization Central Virginia Dental Care
Practice address 2301 Robious Station Cir, Midlothian, VA, 23113
Phone (804) 378-7888
Enumeration date Oct 21, 2016
Last updated in NPPES Oct 21, 2016

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jefferson Blackburn
Title Owner
Phone (804) 378-7888

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-21. Verify at npiregistry.cms.hhs.gov.
Where is South River Dentistry located?
The practice location on file with NPPES is in Midlothian, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-21.