OrganizationActive
Dylla-Jensen Periodontics PLLC
NPI 1407008477 · Periodontics · Edina, MN
Provider details
- NPI number
- 1407008477
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Authorized official
- Russell Dylla, D.D.S.
Practice location
6545 France Ave S
Edina, MN 55435-2131
Phone: (952) 922-6949
Fax: (952) 922-9287
Mailing address
6545 France Ave S
Edina, MN 55435-2131
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2008-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.