Dylla-Jensen Periodontics PLLC
NPI 1407008477ActiveOrganization· Dentist, Periodontics· Edina, MN
Dentist, Periodontics in Edina, Minnesota, registered in NPPES in October 2008. The authorized official on file is Russell Dylla, D.D.S., D.D.S.
Overview
| NPI | 1407008477 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2008 |
| Last updated in NPPES | Oct 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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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