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NPI · 1134547730 · NPPES-sourced

Southdale Periodontics, PLLC

ActivePeriodontics
NPI Number
1134547730
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(952) 922-6949
License MN · D12016
Last Updated
About 12 years ago (Apr 2014)
Enumerated 2014-04-01
Primary practice addressMN · 55435-2131
6545 France Ave S, Suite 190Edina, MN 55435-2131
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About this NPIWhat this record shows.

NPI 1134547730 is registered to Southdale Periodontics, PLLC, a healthcare organisation classified as "Periodontics" and located at 6545 France Ave S, Suite 190 in Edina, Minnesota. The organisation's authorised official is Russell Dylla. The organisation has been enumerated in the NPI registry since 2014.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2014-04-01
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southdale Periodontics, PLLC accepts. To confirm in-network status with your specific health plan, contact Southdale Periodontics, PLLC directly at (952) 922-6949.

Frequently asked

Yes. NPI 1134547730 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 922-6949.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southdale Periodontics, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated2014-04
Enumerated2014-04-01
StatusActive
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4 records · same addressOther providers at this location.

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Same specialtyOther Periodontics providers in Minnesota.

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