SOUTHERN CITIES COMMUNITY CLINIC
NPI 1730630393
Dentist in Faribault, MN

Q: What is Southern Cities Community Clinic's NPI number?

The NPI number for Southern Cities Community Clinic is 1730630393. It was assigned to this organization in the NPPES registry on October 19, 2016.

Q: What is Southern Cities Community Clinic's specialty?

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

Active since October 19, 2016

400 4TH ST NW, FARIBAULT, MN 55021(507) 384-6830 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2019, Oct 19, 2016 (2 updates tracked since 2016).

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About Southern Cities Community Clinic NPPES

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

SOUTHERN CITIES COMMUNITY CLINIC (NPI 1730630393) is a healthcare organization registered as a dentist in Faribault, Minnesota and active in the NPI registry since October 2016. The organization lists Nancy Kaiser, Reimbursement Specialist, as its authorized official.

NPPES Registry Identity

NPI1730630393

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSOUTHERN CITIES COMMUNITY CLINIC

Location Address400 4TH ST NWFaribault, MN 55021-5031

Mailing AddressPo Box 64979Saint Paul, MN 55164-0979 · (651) 431-5884 · Fax (651) 431-7505

Phone(507) 384-6830

Organization SubpartNo

Authorized OfficialNancy KaiserReimbursement Specialist · (651) 431-3710

Enumeration DateOctober 19, 2016

Last NPPES UpdateSeptember 4, 20192 updates tracked since enumeration

✔ NPI 1730630393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

400 4TH ST NW, Faribault, MN 55021

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 17

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

MR. ERIK MICHAEL ADOLPHSON LICSW

Social Worker (Clinical)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

CAROL JOAN PEITZMAN APRN, CNS

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

CHERYL JOAN PALMER ERICKSON

Dental Hygienist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 210-1436

LINDA M MAYTAN DDS

Student in an Organized Health Care Education/Training Program

400 4TH ST NW, SUITE A3A
FARIBAULT, MN 55021

Rice County (507) 384-6830

THOMAS ARTHUR MANS ADT

Advanced Practice Dental Therapist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

KYLEEANN SOPHIA STEVENS M.D.

Psychiatry & Neurology (Forensic Psychiatry)

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

SOUTHERN CITIES CLINIC

General Practice

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

KRISTA ANDROS

Dental Hygienist

400 4TH ST NW
FARIBAULT, MN 55021

Rice County (507) 384-6830

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 Southern Cities Community Clinic's NPI number?

The NPI number for Southern Cities Community Clinic is 1730630393. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Southern Cities Community Clinic located?

Southern Cities Community Clinic is located at 400 4th St NW, Faribault, MN 55021. The listed phone number is (507) 384-6830.

What is Southern Cities Community Clinic's specialty?

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

What insurance does Southern Cities Community Clinic accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Cities Community Clinic 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 Southern Cities Community Clinic was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.