Organization · Type 2 NPI
Southdale Periodontics
Periodontics · Edina, MN
NPI number
1326044538
Active
Practice location
6545 France Ave S, Ste 190
Edina, MN 55435-2184
Fax (952) 922-9287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8863 (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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About NPI 1326044538
Southdale Periodontics's National Provider Identifier is 1326044538, issued on Jun 22, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edina, MN. The record was last updated on Aug 22, 2020.