Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHERN MINNESOTA PERIODONTICS, PA
Active OrganizationSOUTHERN MINNESOTA PERIODONTICS, PA is a Periodontology organization located in MANKATO, Minnesota. NPI 1609012624 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MANKATO, MN
Registration Details
- NPI Number
- 1609012624
- Provider Type
- Organization
- NPI Issued
- Dec 22, 2008 (17.680411056224 yrs)
- Last Updated
- Dec 22, 2008
- Licenses
-
11710 (MN)8671 (MN)
Practice Information
- Address
-
99 NAVAHO AVESUITE 102MANKATO, MN, 560014876Browse MN providers · Browse ZIP 56001
- Phone
- 5073457537
- Fax
- 5073457538
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Organizations in MANKATO, MN
| Name | NPI |
|---|---|
| GARY R. JERNBERG, D.D.S., M.S.D. | 1851510952 |
| SOUTHERN MINNESOTA PERIODONTICS PA | 1316390669 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.