Southside Dental Clinic

Dental Clinic

 
4243 4th Ave S, Minneapolis
    Minnesota, 55409-2113

 612-822-9030    612-821-2818 Maps & Directions
Southside Dental Clinic 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 Dental Clinic is William Henry Tendle Jr. who is Executive Director of the clinic and their contact number is 612-821-2800.
Southside Dental Clinic 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 Dental Clinic Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Southside Dental Clinic
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 Dental Clinic 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 Dental Clinic are as mentioned below.
SpecializationLicense NumberStateStatus
Dentist Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
635323100MedicaidMinnesota
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 Dental Clinic
4243 4th Ave S,
Minneapolis, Minnesota
Zip: 55409-2113
Phone Number: 612-822-9030
Fax Number: 612-821-2818
Patients can reach Southside Dental Clinic at 4243 4th Ave S, Minneapolis, Minnesota or can call to book an appointment on 612-822-9030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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