Southridge Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHRIDGE FAMILY DENTAL

Practice address

1320 Mendota Rd
Inver Grove Heights, MN 55077-1255

Phone

(651) 451-1884

NPI assigned

Apr 14, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew John Worke, DDSNPI 1154069243

Title

Dentist/Owner

Phone

(507) 438-8990

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew John Worke, D.D.S.

  • Dentist
  • Blooming Prairie, MN
  • NPI 1154069243
  NPD Authorized official
• Michael J Dillon, DDS

  • General Practice Dentistry
  • Inver Grove Heights, MN
  • NPI 1609865286
  NPD (past)
• Sheryl Bottjen Tandon, DDS

  • Dentist
  • Inver Grove Heights, MN
  • NPI 1043522881
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1417890245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CRESTVIEW LN",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA RD",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771255",
            "telephone_number": "651-451-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHRIDGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WORKE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "507-438-8990",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Carolyn Smith
• Snyders Drug
• Sol Health LLC
• Samantha Joy Sonstegard, PT, DPT
• Southridge Dental, PA
• Spirit in Bloom, LLC
• Daniel R. Stahl, M.D.
• Star Dental
• Grant Stark
• Starnovus LLC

• Dental Clinic/Center in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.