SOUTHRIDGE FAMILY DENTAL – NPI #1417890245
Clinic/Center
SOUTHRIDGE FAMILY DENTAL is an AHC clinic located in INVER GROVE HEIGHTS, MN. NPPES recently assigned the NPI number 1417890245 to SOUTHRIDGE FAMILY DENTAL on April 14, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHRIDGE FAMILY DENTAL below.
NPI Profile for
SOUTHRIDGE FAMILY DENTAL
(about 8 weeks ago)
INVER GROVE HEIGHTS, MN 55077-1255 Phone: (651) 451-1884 Fax:
OWATONNA, MN 55060-2109 Phone: Fax:
DENTIST/OWNER
Phone: (507) 438-8990
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QD0000X - Clinic/Center / Dental (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.