SOUTHRIDGE DENTAL, PA
NPI 1386166734
Dentist in Inver Grove Heights, MN

Active since July 07, 2017
1320 MENDOTA RD, INVER GROVE HEIGHTS, MN 55077(651) 451-1884(651) 306-9709 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 7, 2017 (2 updates tracked since 2017).

About Southridge Dental, Pa NPPES

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

SOUTHRIDGE DENTAL, PA (NPI 1386166734) is a healthcare organization registered as a dentist in Inver Grove Heights, Minnesota and active in the NPI registry since July 2017. The organization lists Sheryl Bottjen Tandon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1386166734
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHRIDGE DENTAL, PA
Location Address1320 MENDOTA RDInver Grove Heights, MN 55077-1255
Mailing Address1320 Mendota RdInver Grove Heights, MN 55077-1255 · (651) 451-1884
Fax(651) 306-9709
Organization SubpartNo
Authorized OfficialSheryl Bottjen TandonDentist · (651) 451-1884
Enumeration DateJuly 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1386166734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D12847
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1320 MENDOTA RD, Inver Grove Heights, MN 55077

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
1320 MENDOTA RD
INVER GROVE HEIGHTS, MN 55077
Clinic/Center (Dental)
1320 MENDOTA RD
INVER GROVE HEIGHTS, MN 55077
Dentist (General Practice)
1320 MENDOTA RD
INVER GROVE HEIGHTS, MN 55077

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 Southridge Dental, PA's NPI number?

The NPI number for Southridge Dental, PA is 1386166734. It was assigned to this organization in the NPPES registry on July 7, 2017.

Where is Southridge Dental, PA located?

Southridge Dental, PA is located at 1320 Mendota Rd, Inver Grove Heights, MN 55077. The listed phone number is (651) 451-1884.

What is Southridge Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Southridge Dental, PA accept?

Health plans from UnitedHealthcare list Southridge Dental, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southridge Dental, PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.