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

Organization General Practice Dentistry · NPI 1932247921

Southern Heights Dental Group PA is a 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

Other providers in Faribault