Southridge Dental, Pa

LBN: Southridge Dental, Pa
Southridge Dental, Pa is an health care organization with primary practice located at 1320 Mendota Rd , Inver Grove Heights MN 55077-1255. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Southridge Dental, Pa can be contacted via phone (651) 451-1884, or through Tandon, Sheryl Bottjen via phone (651) 451-1884.

Contact Information

Primary practice address
1320 Mendota Rd Inver Grove Heights MN 55077-1255
Phone: (651) 451-1884
Fax: (651) 306-9709
Website:
Map and Directions
Authorized official contact:
Name: Tandon, Sheryl Bottjen Doctor of Dental Surgery (DDS)
Phone: (651) 451-1884

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D12847 Minnesota

Profile Details

NPI number 1386166734
LBN Legal business name Southridge Dental, Pa
DBA Doing business as
Authorized official Tandon, Sheryl Bottjen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2017
Last updated Jul 21st, 2022 - about 2 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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