Southern Heights Dental Group Pa
Dental Clinic
1575 20th Street Northwest, Suite 102, Faribault
Minnesota, 55021
507-334-6433 507-334-0044
Maps & DirectionsSouthern Heights Dental Group Pa is a Dental Clinic in Faribault, Minnesota. It is located at 1575 20th Street Northwest, Suite 102, Faribault, MN and its contact number is 507-334-6433. The authorized person for Southern Heights Dental Group Pa is Mrs. Kate Tonjum
who is Administrator of the clinic and their contact number is 507-334-6433. The primary license number for Southern Heights Dental Group Pa is D7800 (General Practice) in Minnesota.
Southern Heights Dental Group Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southern Heights Dental Group Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Heights Dental Group Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1575 20th Street Northwest, Suite 102, Faribault,
Minnesota, 55021 |
| Phone: | 507-334-6433 |
| Fax: | 507-334-0044 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Kate Tonjum |
| Position: | Administrator |
| Contact Number: | 507-334-6433 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Heights Dental Group Pa clinic are as mentioned below.
| NPI Number: | 1932247921 |
| NPI Enumeration Date: | 02 Feb, 2007 |
| NPI Last Update On: | 06 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Heights Dental Group Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D7800 | Minnesota | Primary | |
| General Practice | D9884 | Minnesota | Secondary | |
| General Practice | D10323 | Minnesota | Secondary | |
| General Practice | D11586 | Minnesota | Secondary | |
| General Practice | D11400 | Minnesota | Secondary | |
| General Practice | D11631 | Minnesota | Secondary | |
| General Practice | D8742 | Minnesota | Secondary | |
| Dental | D7800 | Minnesota | Secondary | |
| Dental | D13095 | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 550722700 | Medicaid | Minnesota | |
| 607320400 | Medicaid | Minnesota | |
| 148427300 | Medicaid | Minnesota | |
| 284735300 | Medicaid | Minnesota | |
| 856415900 | Medicaid | Minnesota | |
| 325522100 | Medicaid | Minnesota | |
| 440217100 | Medicaid | Minnesota | |
| 443655000 | Medicaid | Minnesota | |
| 849698600 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Heights Dental Group Pa
1575 20th Street Northwest, Suite 102
Faribault, Minnesota |
| Zip: | 55021 |
| Phone Number: | 507-334-6433 |
| Fax Number: | 507-334-0044 |
Patients can reach Southern Heights Dental Group Pa at
1575 20th Street Northwest, Suite 102, Faribault, Minnesota or can
call to book an appointment on 507-334-6433.
Comments/ Reviews:
Read all the reviews posted for Southern Heights Dental Group Pa below. You may also share your own experience with Southern Heights Dental Group Pa. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.