SOUTHDALE PERIODONTICS – Periodontics, NPI 1326044538

SOUTHDALE PERIODONTICS is a healthcare provider. based in Edina, Minnesota. specializing in Periodontics. The organization holds a License No. 8863 (MN). The NPI Number for SOUTHDALE PERIODONTICS is 1326044538

Main info

Organization
Name
SOUTHDALE PERIODONTICS
NPI
1326044538
Phone
(952) 922-6949
Address
6545 FRANCE AVE S
Authorized Official
DR. JAMES R JENSEN OWNER DDS MS
Enumeration Date
22 June 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHDALE PERIODONTICS

  • 6545, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    STE 190

    EDINA, MN 554352184

    Phone: (952) 922-6949

    Fax: (952) 922-9287

    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.

This can happen when there are no reportable CMS Open Payments records.

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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Reviews

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Frequently asked questions

What is the registry number for SOUTHDALE PERIODONTICS?
The registry entry for SOUTHDALE PERIODONTICS shows NPI 1326044538.
Is SOUTHDALE PERIODONTICS's NPI status active today?
Active status means SOUTHDALE PERIODONTICS's NPI record is not deactivated in the public file.
What does the directory say SOUTHDALE PERIODONTICS does?
Insurance directories may phrase it differently, but here SOUTHDALE PERIODONTICS maps to Periodontics. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SOUTHDALE PERIODONTICS?
SOUTHDALE PERIODONTICS is associated with Edina, Minnesota in the same public data insurers reference.
Why is information missing for SOUTHDALE PERIODONTICS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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Unknown Individual

Periodontics
3925 W 44TH ST
NPI: 1437273976