Southdale Periodontics
NPI 1326044538ActiveOrganization· Dentist, Periodontics· Edina, MN
Dentist, Periodontics in Edina, Minnesota, registered in NPPES in June 2005. The authorized official on file is James R. Jensen, DDS MS, Owner.
Overview
| NPI | 1326044538 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 8863 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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