SOUTHDALE DENTAL ASSOCIATES NPI 1285691220

NPI Information

SOUTHDALE DENTAL ASSOCIATES is a prosthodontics dentist in Edina, MN. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. SOUTHDALE DENTAL ASSOCIATES NPI is 1285691220. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7373 FRANCE AVE S
STE 600
EDINA, MN
ZIP 55435-552
Phone: (952) 896-1111
Fax: (952) 253-9271

The provider's authorized official is James David Raymond .
The authorized official title is President Partner and has the following contact phone number (952) 896-1111.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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