Southern Minnesota Periodontics, Pa

  • 1609012624 NPI Number
  • |
  • Actived: 15 years ago
  • |
Southern Minnesota Periodontics, Pa is a health care provider based in Mankato, MN. The NPI Number is 1609012624 and it has been active since 15 years ago. The specialty is Periodontics, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Periodontics services, Southern Minnesota Periodontics, Pa is an excellent option. We are here to help you get the care you need.

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Overview of Southern Minnesota Periodontics, Pa

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/22/2008
  • Last updated: 12/22/2008

Primary Scrop of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: 11710
  • License State: MN

Provider Mailing Address

  • Address: 99 Navaho Ave
    Suite 102
    Mankato, MN 56001
  • Phone: 507-345-7537
  • Fax: 507-345-7538

Provider Practice Location

  • Address: 99 Navaho Ave
    Suite 102
    Mankato, MN 56001
  • Phone: 507-345-7537
  • Fax: 507-345-7538

Authorized Official

  • Name: DR. Gary Jernberg
  • Position/Title: Owner
  • Telephone Number: 507-345-7537

Scope of Practice

  • Taxonomy Code: 1223P0300X
  • Specialty: Periodontics
  • License Number: 8671
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 000839878
  • Identifier Type: Other
  • Identifier State: PA
  • Issuer: UNITED CONCORDIA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Southern Minnesota Periodontics, Pa?
  • A: The npi number for Southern Minnesota Periodontics, Pa is 1609012624.
  • Q: What are Southern Minnesota Periodontics, Pa's specialties?
  • A: Southern Minnesota Periodontics, Pa's specialties are Periodontics and different specialities.
  • Q: Where is Southern Minnesota Periodontics, Pa business practice location?
  • A: Southern Minnesota Periodontics, Pa business practice location is 99 Navaho Ave, Mankato, MN 56001.
  • Q: How to contact Southern Minnesota Periodontics, Pa?
  • A: You can contact Southern Minnesota Periodontics, Pa via 507-345-7537.
  • Q: What is the authorized official for Southern Minnesota Periodontics, Pa?
  • A: The authorized office name is DR. Gary Jernberg with position/title is Owner and you can reach the authorized official via phone number 5073457537.
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