IndividualActive
Russell Dylla, DDS
NPI 1710180294 · Periodontics · Edina, MN
Provider details
- NPI number
- 1710180294
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D12016 (MN)
Practice location
6545 France Ave S
Suite #190
Edina, MN 55435-2131
Phone: (952) 922-6949
Mailing address
6545 France Ave S Ste 190
Edina, MN 55435-2184
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2016-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.