DYLLA-JENSEN PERIODONTICS PLLC


Address: 6545 France Ave S, Edina, MN 55435-2131
Phone: 9529226949

DYLLA-JENSEN PERIODONTICS PLLC (NPI# 1407008477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407008477
Entity Type Organization
Organization Name DYLLA-JENSEN PERIODONTICS PLLC
Practice Address 6545 France Ave S
Edina
MN 55435-2131
Practice Telephone 9529226949
Practice Fax Number 9529229287
Mailing Telephone 9529226949
Enumeration Date 2008-10-21
Last Update Date 2008-10-21
Authorized Official Name DR. RUSSELL DYLLA (D.D.S.)
Authorized Official Telephone 9529226949
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Office Location

Street Address 6545 FRANCE AVE S
City EDINA
State MN
Zip Code 55435-2131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578569042 Paul S. Gotlieb Internal Medicine 6545 France Ave S, Suite 150, Edina, MN 55435-2131 2005-06-21
1972111003 Alexandra Michele Vecchia Pharmacist 6545 France Ave S, Edina, MN 55435-2131 2020-07-15
1144879396 Sarah Pupkes Clark Pharmacist 6545 France Ave S, Edina, MN 55435-2131 2019-09-10
1043793144 Stephanie Lynae Gulbranson Nurse Practitioner 6545 France Ave S, Edina, MN 55435-2131 2018-09-13
1366940850 Elise Graham Dietitian, Registered 6545 France Ave S, Edina, MN 55435-2131 2018-01-30
1255877031 Jami Teresa Weiss Physician Assistant 6545 France Ave S, 450, Edina, MN 55435-2131 2017-01-17
1952847741 Kc Core Mn Pllc Chiropractor 6545 France Ave S, Suite 301, Edina, MN 55435-2131 2017-01-17
1255881967 Dawn Hostenske Tope Nurse Practitioner 6545 France Ave S, Suite 564, Edina, MN 55435-2131 2016-10-05
1366894180 Angela Yarbrough Pharmacist 6545 France Ave S, Edina, MN 55435-2131 2016-07-05
1467842419 Steven Pals Nurse Practitioner 6545 France Ave S, Suite 450, Edina, MN 55435-2131 2015-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104433416 Evy Christine Claussen Social Worker 6363 France Ave. S., Edina, MN 55435 2020-09-30
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1730651639 Taylor Lee Kehoe Physician Assistant 7400 France Ave., Suite #100, Edina, MN 55435 2018-12-18
1538666326 Amanda Deangelo Physical Therapist 6401 Southdale Hospital, Ll3g, Edina, MN 55435 2018-04-09
1982107876 Julia Seliber Dental Hygienist 7600 France Ave.s. Suite 1100, Edina, MN 55435 2018-03-16
1154840064 Southhealth Asc, LLC Clinic/Center 4100 Minnesota Drive, Edina, MN 55435 2017-09-12
1730605528 Edina Medical Supplies Durable Medical Equipment & Medical Supplies 7455 France Ave., #614 S, Edina, MN 55435 2017-08-14
1033565510 Minnesota Disc Replacement and Spine Restoration Center Clinic/Center 4444 76 St, #700, Edina, MN 55435 2016-05-13
1306206321 Barb Ryan Mechanotherapist 7550 France Avenue S, #220, Edina, MN 55435 2016-03-03
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205129012 Jerod Thomas Klava Dentist 6545 France Ave. So., Suite 190, Edina, MN 55435 2011-05-26
1861575946 Donald E. Lareau Dentist 7373 France Ave S Ste 502, Edina, MN 55435-4549 2006-10-23
1134547730 Southdale Periodontics, Pllc Dentist 6545 France Ave S, Suite 190, Edina, MN 55435-2131 2014-04-01
1710180294 Russell Allen Dylla Dentist 6545 France Ave S, Suite #190, Edina, MN 55435-2131 2007-06-11
1437273976 Carl L Bandt Dentist 3925 W 44th St, Edina, MN 55424-1032 2007-03-19
1811058126 Oender Solakoglu Dentist 6545 France Ave S, Suite 190, Edina, MN 55435-2131 2006-12-12
1780745091 James R Jensen Dentist 6545 France Ave S, Suite 190, Edina, MN 55435-2131 2006-12-12
1285795500 Jonathan M Jenkins Dentist 6545 France Ave S, Suite 190, Edina, MN 55435-2131 2006-12-12
1376619114 Dental Specialists of Minnesota, Pllc Dentist 6545 France Ave S, Suite 366, Edina, MN 55435-2131 2006-11-24
1134208630 Douglas George Petersen Dentist 6545 France Ave S, #366, Edina, MN 55435-2131 2006-11-03
Find all providers in EDINA

Competitor

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City EDINA
Zip Code 55435

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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