SOUTHDALE DENTAL ASSOCIATES – Prosthodontics, NPI 1285691220

SOUTHDALE DENTAL ASSOCIATES is a healthcare provider. based in Edina, Minnesota. specializing in Prosthodontics. The organization holds a License No. 7004 (MN). The NPI Number for SOUTHDALE DENTAL ASSOCIATES is 1285691220

Main info

Organization
Name
SOUTHDALE DENTAL ASSOCIATES
NPI
1285691220
Phone
(952) 896-1111
Address
7373 FRANCE AVE S
Authorized Official
DR. JAMES DAVID RAYMOND PRESIDENT PARTNER DDS
Enumeration Date
26 April 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:20State licenses:7Digital endpointsOther names

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Provider Addresses for SOUTHDALE DENTAL ASSOCIATES

  • Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435-4534, United States

    STE 600

    EDINA, MN 554354552

    Phone: (952) 896-1111

    Fax: (952) 253-9271

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Frequently asked questions

How is SOUTHDALE DENTAL ASSOCIATES identified in CMS data?
CMS-hosted NPPES data lists SOUTHDALE DENTAL ASSOCIATES with NPI 1285691220.
Can I rely on SOUTHDALE DENTAL ASSOCIATES being an active provider?
As of the registry snapshot, SOUTHDALE DENTAL ASSOCIATES is marked active.
What is SOUTHDALE DENTAL ASSOCIATES's specialty?
The listing groups SOUTHDALE DENTAL ASSOCIATES with Prosthodontics. Clinical services aligned with this taxonomy classification.
Does SOUTHDALE DENTAL ASSOCIATES list a practice location?
Patients near Edina, Minnesota may find SOUTHDALE DENTAL ASSOCIATES in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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