Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southdale Periodontics

Organization Periodontics · NPI 1326044538

Southdale Periodontics provides Periodontics in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005

Practice location Address checks out

6545 France Ave S Ste 190
Edina, MN 55435-2184
Phone: (952) 922-6949
Fax: (952) 922-9287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 8863 (MN)

Record details

NPI number1326044538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Jensen — Owner · (952) 922-6949
NPI enumeratedJune 22, 2005
Last updated in NPPESAugust 22, 2020
Mailing address6545 France Ave S, Ste 190, Edina, MN 55435-2184

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