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 is a 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

Other providers in Edina