Southdale Periodontics, Pllc

  • 1134547730 NPI Number
  • |
  • Actived: 10 years ago
  • |
Southdale Periodontics, Pllc is a health care provider based in Edina, MN. The NPI Number is 1134547730 and it has been active since 10 years ago. The specialty is Periodontics, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Periodontics services, Southdale Periodontics, Pllc is an excellent option. We are here to help you get the care you need.

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Overview of Southdale Periodontics, Pllc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/01/2014
  • Last updated: 04/01/2014

Primary Scrop of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: D12016
  • License State: MN

Provider Mailing Address

  • Address: 6545 France Ave S
    Suite 190
    Edina, MN 55435
  • Phone: 952-922-6949
  • Fax: 952-922-9287

Provider Practice Location

  • Address: 6545 France Ave S
    Suite 190
    Edina, MN 55435
  • Phone: 952-922-6949
  • Fax: 952-922-9287

Authorized Official

  • Name: DR. Russell Allen Dylla D.D.S.
  • Position/Title: Owner
  • Telephone Number: 952-922-6949

Scope of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: D12016
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Southdale Periodontics, Pllc?
  • A: The npi number for Southdale Periodontics, Pllc is 1134547730.
  • Q: What are Southdale Periodontics, Pllc's specialties?
  • A: Southdale Periodontics, Pllc's specialties are Periodontics and different specialities.
  • Q: Where is Southdale Periodontics, Pllc business practice location?
  • A: Southdale Periodontics, Pllc business practice location is 6545 France Ave S, Edina, MN 55435.
  • Q: How to contact Southdale Periodontics, Pllc?
  • A: You can contact Southdale Periodontics, Pllc via 952-922-6949.
  • Q: What is the authorized official for Southdale Periodontics, Pllc?
  • A: The authorized office name is DR. Russell Allen Dylla D.D.S. with position/title is Owner and you can reach the authorized official via phone number 9529226949.
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