Organization · Type 2 NPI
Southdale Periodontics, PLLC
Periodontics · Edina, MN
NPI number
1134547730
Active
Practice location
6545 France Ave S, Suite 190
Edina, MN 55435-2131
Fax (952) 922-9287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | D12016 (MN) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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Other periodontics providers in Edina
About NPI 1134547730
Southdale Periodontics, PLLC's National Provider Identifier is 1134547730, issued on Apr 1, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edina, MN. The record was last updated on Apr 1, 2014.