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Southern Heights Dental Group PA

General Practice Dentistry in Faribault, MN · enumerated 2007 · authorized official Kate Tonjum, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932247921

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Heights Dental Group PA
Practice address 1575 20th Street Northwest, Suite 102, Faribault, MN, 55021
Fax (507) 334-0044
Enumeration date Feb 2, 2007
Last updated in NPPES Aug 6, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D7800 (MN) Primary
1223G0001X General Practice Dentistry Dental Providers · License D9884 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D10323 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D11586 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D11400 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D11631 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D8742 (MN) Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License D7800 (MN) Secondary
261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License D13095 (MN) Secondary

Authorized official

Name Kate Tonjum
Title Administrator

Other identifiers

Identifier Type State Issuer
550722700 Medicaid MN -
607320400 Medicaid MN -
148427300 Medicaid MN -
284735300 Medicaid MN -
856415900 Medicaid MN -
325522100 Medicaid MN -
440217100 Medicaid MN -
443655000 Medicaid MN -
849698600 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Heights Dental Group PA?
NPPES lists Kate Tonjum (Administrator) as the authorized official for this organization.
What is the NPI number for Southern Heights Dental Group PA?
The NPI for Southern Heights Dental Group PA is 1932247921, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-06.