OrganizationActive
Southside Community Health Services, Inc.
NPI 1376409276 · Dentist · Minneapolis, MN
Provider details
- NPI number
- 1376409276
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ann Cazaban, Executive Director(612) 827-7181
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1000 E Lake St
Minneapolis, MN 55407-1617
Phone: (612) 822-9030
Fax: (612) 821-2818
Street-level locationGet directions
Mailing address
1000 E Lake St
Minneapolis, MN 55407-1617
Other names (DBA / former)
- Doing business as
- Southside East Lake Street Dental Clinic
Registry dates
- Enumerated
- 2026-01-05
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.