Organization · Type 2 NPI

Southridge Family Dental

Dental Clinic/Center · Inver Grove Heights, MN

NPI number 1417890245 Active

Practice location

1320 Mendota Rd
Inver Grove Heights, MN 55077-1255

Mailing address

659 Crestview Ln
Owatonna, MN 55060-2109

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1417890245

Southridge Family Dental's National Provider Identifier is 1417890245, issued on Apr 14, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Inver Grove Heights, MN. The record was last updated on Apr 14, 2026.