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SOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
NPI 1992822290
Dentist in Minneapolis, MN

Active since March 23, 2007
4243 4TH AVE S, MINNEAPOLIS, MN 55409(612) 822-9030(612) 821-2818 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Community Health Services, Inc. NPPES

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

SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. (NPI 1992822290) is a healthcare organization registered as a dentist in Minneapolis, Minnesota and active in the NPI registry since March 2007. The organization lists Ann Cazaban, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992822290
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHSIDE COMMUNITY HEALTH SERVICES, INC.
Location Address4243 4TH AVE SMinneapolis, MN 55409-2113
Mailing Address4243 4th Ave SMinneapolis, MN 55409-2113 · (612) 822-9030 · Fax (612) 821-2818
Phone(612) 822-9030
Fax(612) 821-2818
Organization SubpartNo
Authorized OfficialAnn CazabanExecutive Director · (612) 821-2025
Enumeration DateMarch 23, 2007
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
✔ NPI 1992822290 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.
4243 4TH AVE S, Minneapolis, MN 55409
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Other Names 1

Other NameSouthside Dental Clinic

Other Identifiers 1

Medicaid635323100MN

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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 18

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

CHERYL ROMANA DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARK T MCDERMOTT OD
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003
DR. MARY LOUISE TRUCHON CRACKEL D.D.S.
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
GAURANG BHARATKUMAR BHATT DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
VIA MARITH NESS RDH
Dental Hygienist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. NICOLETA TEREZIA AGRIGOROAE BOLOS DDS
Dentist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
DR. MARIA KATALINA ZUNIGA-BRENES DDS
Dentist (General Practice)
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 822-9030
JONEE ELIZABETH MEAGHER O.D.
Optometrist
4243 4TH AVE S
MINNEAPOLIS, MN 55409
Hennepin County (612) 821-2003

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 Southside Community Health Services, Inc.'s NPI number?

The NPI number for Southside Community Health Services, Inc. is 1992822290. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is also known as Southside Dental Clinic.

Where is Southside Community Health Services, Inc. located?

Southside Community Health Services, Inc. is located at 4243 4th Ave S, Minneapolis, MN 55409. The listed phone number is (612) 822-9030.

What is Southside Community Health Services, Inc.'s specialty?

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

What insurance does Southside Community Health Services, Inc. accept?

Health plans from UnitedHealthcare list Southside Community Health Services, Inc. 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 Southside Community Health Services, Inc. was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.