Southside Community Health Services, Inc.
Dental Clinic
4243 4th Ave S, Minneapolis
Minnesota, 55409-2113
612-822-9030 612-821-2818
Maps & DirectionsSouthside Community Health Services, Inc. is a Dental Clinic in Minneapolis, Minnesota. It is located at 4243 4th Ave S, Minneapolis, MN and its contact number is 612-822-9030. The authorized person for Southside Community Health Services, Inc. is William Henry Tendle Jr.
who is Executive Director of the clinic and their contact number is 612-821-2800.
Southside Community Health Services, Inc. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Southside Community Health Services, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southside Community Health Services, Inc. |
| Specialization: | Dentistry |
| Clinic Address: | 4243 4th Ave S, Minneapolis,
Minnesota, 55409-2113 |
| Phone: | 612-822-9030 |
| Fax: | 612-821-2818 |
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: | William Henry Tendle Jr. |
| Position: | Executive Director |
| Contact Number: | 612-821-2800 |
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 Southside Community Health Services, Inc. clinic are as mentioned below.
| NPI Number: | 1992822290 |
| NPI Enumeration Date: | 23 Mar, 2007 |
| NPI Last Update On: | 30 Apr, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Community Health Services, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
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 |
| 635323100 | 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: | Southside Community Health Services, Inc.
4243 4th Ave S,
Minneapolis, Minnesota |
| Zip: | 55409-2113 |
| Phone Number: | 612-822-9030 |
| Fax Number: | 612-821-2818 |
Patients can reach Southside Community Health Services, Inc. at
4243 4th Ave S, Minneapolis, Minnesota or can
call to book an appointment on 612-822-9030.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.