Southdale Dental Associates
NPI 1285691220ActiveOrganization· Dentist, Prosthodontics· Edina, MN
Dentist, Prosthodontics in Edina, Minnesota, registered in NPPES in April 2006. The authorized official on file is James David Raymond, DDS, President Partner.
Overview
| NPI | 1285691220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 10525 | MN |
| Dentist | 122300000X | 7004 | MN |
| Dentist | 122300000X | 6894 | MN |
| Dentist | 122300000X | 6792 | MN |
| Dentist | 122300000X | 9816 | MN |
| Dentist | 122300000X | 8512 | MN |
| Dentist | 122300000X | 10543 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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