Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Travis Andrew Prunty, DDS

Individual provider Dentist · NPI 1275685190

Dr. Travis Andrew Prunty, DDS is a Dentist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

730 Madison Ave
Mankato, MN 56001-6100
Phone: (507) 388-3023
Fax: (507) 388-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12552 (MN)

Record details

NPI number1275685190
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJanuary 18, 2017

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