Southern Minnesota Periodontics, PA
Southern Minnesota Periodontics, PA provides Periodontics in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
99 Navaho Ave Ste 102Mankato, MN 56001-4876 Not confirmed with CMS for 17 years — call before visiting
Phone: (507) 345-7537
Fax: (507) 345-7538
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 8671 (MN) |
|---|---|
| Periodontics | Taxonomy 1223P0300X · Licence 11710 (MN) |
Record details
| NPI number | 1609012624 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Jernberg — Owner · (507) 345-7537 |
| NPI enumerated | December 22, 2008 |
| Last updated in NPPES | December 22, 2008 |
| Mailing address | 99 Navaho Ave, Suite 102, Mankato, MN 56001-4876 |
Other providers in Mankato
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Gary R. Jernberg, DDS, M.s.d.
99 Navaho Ave Ste 102, Mankato, MN 56001-4876 · (507) 345-7537
-
Dr. Gary Robert Jernberg, DDS, MSD
99 Navaho Ave Ste 102, Mankato, MN 56001-4876 · (507) 345-7537
-
Southern Minnesota Periodontics PA
99 Navaho Ave Ste #102, Mankato, MN 56001-4876 · (507) 345-7537