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

Southdale Periodontics, PLLC

Organization Periodontics · NPI 1134547730

Southdale Periodontics, PLLC is a Periodontics in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6545 France Ave S Ste 190
Edina, MN 55435-2131
Phone: (952) 922-6949
Fax: (952) 922-9287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D12016 (MN)

Record details

NPI number1134547730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Dylla — Owner · (952) 922-6949
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 1, 2014
Mailing address6545 France Ave S, Suite 190, Edina, MN 55435-2131

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