Southdale Periodontics, Pllc - Dental Clinic in Edina, MN

Southdale Periodontics, Pllc is a dental clinic (Dentist - Periodontics) in Edina, Minnesota. The current practice location for Southdale Periodontics, Pllc is 6545 France Ave S, Suite 190, Edina, Minnesota. For appointments, you can reach them via phone at (952) 922-6949. The mailing address for Southdale Periodontics, Pllc is 6545 France Ave S, Suite 190, Edina, Minnesota and phone number is (952) 922-6949.

Southdale Periodontics, Pllc is licensed to practice in Minnesota (license number D12016) and its NPI number is 1134547730. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (952) 922-6949.

Contact Information

Southdale Periodontics, Pllc
6545 France Ave S
Suite 190
Edina
MN 55435-2131
(952) 922-6949
(952) 922-9287

Dental Care Clinic Profile

Full NameSouthdale Periodontics, Pllc
SpecialityDentist - Periodontics
Location6545 France Ave S, Edina, Minnesota
Authorized Official Name and PositionRussell Allen Dylla (OWNER)
Authorized Official Contact9529226949
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southdale Periodontics, Pllc
6545 France Ave S
Suite 190
Edina
MN 55435-2131

Ph: (952) 922-6949
Southdale Periodontics, Pllc
6545 France Ave S
Suite 190
Edina
MN 55435-2131

Ph: (952) 922-6949

NPI Details:

NPI Number1134547730
Provider Enumeration Date04/01/2014
Last Update Date04/01/2014

Medical Identifiers

Medical identifiers for Southdale Periodontics, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134547730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics D12016 (Minnesota)Primary

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