SOUTHDALE PERIODONTICS
NPI 1326044538
Dentist - Periodontics in Edina, MN

Q: What is Southdale Periodontics's NPI number?

The NPI number for Southdale Periodontics is 1326044538. It was assigned to this organization in the NPPES registry on June 22, 2005.

Q: What is Southdale Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since June 22, 2005

6545 FRANCE AVE S, STE 190, EDINA, MN 55435(952) 922-6949(952) 922-9287 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southdale Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHDALE PERIODONTICS (NPI 1326044538) is a healthcare organization registered as a periodontics in Edina, Minnesota and active in the NPI registry since June 2005. The organization lists James R Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1326044538

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameSOUTHDALE PERIODONTICS

Location Address6545 FRANCE AVE S, STE 190Edina, MN 55435-2184

Mailing Address6545 France Ave S, Ste 190Edina, MN 55435-2184 · (952) 922-6949 · Fax (952) 922-9287

Phone(952) 922-6949

Fax(952) 922-9287

Organization SubpartNo

Authorized OfficialJames R JensenOwner · (952) 922-6949

Enumeration DateJune 22, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1326044538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 8863

Definition

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.

6545 FRANCE AVE S, Edina, MN 55435

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS STEALEY MD

Pediatrics

6545 FRANCE AVE S, SUITE 400
EDINA, MN 55435

Hennepin County (952) 920-9191

DR. MICHELE ANN REYNOLDS D.D.S.,M.S.

Dentist (Endodontics)

6545 FRANCE AVE S, SUITE 665 SOUTHDALE MEDICAL BUILDING
EDINA, MN 55435

Hennepin County (952) 927-8694

MRS. AMY MICHELLE BOYDEN-HOEKSTRA P.T.

Physical Therapist

6545 FRANCE AVE S, SUITE 373
EDINA, MN 55435

Hennepin County (952) 835-4512

VICKI I BUTH CNP

Nurse Practitioner (Obstetrics & Gynecology)

6545 FRANCE AVE S, STE 540
EDINA, MN 55435

Hennepin County (952) 927-4045

MICHELE R O'BRIEN CNS

Clinical Nurse Specialist (Adult Health)

6545 FRANCE AVE S, STE 210
EDINA, MN 55435

Hennepin County (952) 928-2900

DR. DAVID JOHN CLAY DDS MS

Dentist (Prosthodontics)

6545 FRANCE AVE S, SUITE 680
EDINA, MN 55435

Hennepin County (952) 922-5326

DR. MARY ELIZABETH JOHNSON D.D.S.

Dentist (Endodontics)

6545 FRANCE AVE S, SUITE 665
EDINA, MN 55435

Hennepin County (952) 927-8694

STEPHANIE LYNAE GULBRANSON

Nurse Practitioner (Family)

6545 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 836-3695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southdale Periodontics's NPI number?

The NPI number for Southdale Periodontics is 1326044538. It was assigned to this organization in the NPPES registry on June 22, 2005.

Where is Southdale Periodontics located?

Southdale Periodontics is located at 6545 France Ave S Ste 190, Edina, MN 55435. The listed phone number is (952) 922-6949.

What is Southdale Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Southdale Periodontics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.