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

Southern Heights Dental Group PA

Organization General Practice Dentistry · NPI 1932247921

Southern Heights Dental Group PA provides General Practice Dentistry in Faribault, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
9
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1575 20th St NW Ste 102
Faribault, MN 55021
Phone: (507) 334-6433
Fax: (507) 334-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7800 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D9884 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D10323 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D11586 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D11400 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D11631 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence D8742 (MN)
Dental Clinic/Center Taxonomy 261QD0000X · Licence D7800 (MN)
Dental Clinic/Center Taxonomy 261QD0000X · Licence D13095 (MN)

Record details

NPI number1932247921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kate Tonjum — Administrator · (507) 334-6433
NPI enumeratedFebruary 2, 2007
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020
Mailing address1575 20th Street Northwest, Suite 102, Faribault, MN 55021

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