Southern 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.