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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHDALE PERIODONTICS

Active Organization

SOUTHDALE PERIODONTICS is a Periodontology organization located in EDINA, Minnesota. NPI 1326044538 is currently active in the NPPES registry. Verify at CMS.

Periodontology · EDINA, MN

Registration Details

NPI Number
1326044538
Provider Type
Organization
NPI Issued
Jun 22, 2005 (21.181805269007 yrs)
Last Updated
Aug 22, 2020
License
8863 (MN)

Practice Information

Address
6545 FRANCE AVE S
STE 190
EDINA, MN, 554352184
Browse MN providers · Browse ZIP 55435
Phone
9529226949
Fax
9529229287
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in EDINA, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.