Individual provider · Type 1 NPI

Russell Allen Dylla, DDS

Periodontics · Edina, MN

NPI number 1710180294 Active

Practice location

6545 France Ave S, Suite #190
Edina, MN 55435-2131

Call (952) 922-6949 Map

Mailing address

6545 France Ave S Ste 190, Suite #190
Edina, MN 55435-2184

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD12016 (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 1710180294

Russell Allen Dylla, DDS's National Provider Identifier is 1710180294, issued on Jun 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edina, MN. The record was last updated on Nov 17, 2016.