Southdale Dental Associates
LBN: Southdale Dental Associates
Southdale Dental Associates is an health care organization with primary practice located at 7373 France Ave S Ste 600, Edina MN 55435-4552. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Dentist is the primary health care specialty.
Southdale Dental Associates can be contacted via phone (952) 896-1111, or through Raymond, James David via phone (952) 896-1111.
Contact Information
Primary practice address
7373 France Ave S Ste 600
Edina MN 55435-4552
Phone: (952) 896-1111
Fax: (952) 253-9271
Website:
Authorized official contact:
Name: Raymond, James David Doctor of Dental Surgery (DDS)
Phone: (952) 896-1111
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 7004 | Minnesota |
Dental Providers / Dentist | 122300000X | 6894 | Minnesota |
Dental Providers / Dentist | 122300000X | 6792 | Minnesota |
Dental Providers / Dentist | 122300000X | 9816 | Minnesota |
Dental Providers / Dentist | 122300000X | 8512 | Minnesota |
Dental Providers / Dentist | 122300000X | 10543 | Minnesota |
Dental Providers / Prosthodontics | 1223P0700X | 10525 | Minnesota |
Profile Details
NPI number | 1285691220 |
---|---|
LBN Legal business name | Southdale Dental Associates |
DBA Doing business as | |
Authorized official | Raymond, James David Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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