Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY ROBERT JERNBERG, D.D.S., M.S.D.
Active Sole ProprietorDR. GARY ROBERT JERNBERG, D.D.S., M.S.D. is a Periodontology healthcare provider located in MANKATO, Minnesota. NPI 1164420675 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MANKATO, MN
Registration Details
- NPI Number
- 1164420675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2005 (21.059986950163 yrs)
- Last Updated
- Jan 28, 2011
- License
-
8671 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
99 NAVAHO AVESUITE 102MANKATO, MN, 560014876Browse MN providers · Browse ZIP 56001
- Phone
- 5073457537
- Fax
- 5073457538
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.