institution
Southern Minnesota Periodontics, Pa
Periodontist in Mankato, Minnesota
NPI 1609012624

Southern Minnesota Periodontics, Pa is a Periodontist based in Mankato, MN and is specialized in Periodontics. Southern Minnesota Periodontics, Pa practices in Mankato, MN. The NPI Number for Southern Minnesota Periodontics, Pa is 1609012624 and holds a License No. 8671 (Minnesota).

The current practice location address for Southern Minnesota Periodontics, Pa is 99 Navaho Ave, Mankato, MN and can be reached out via phone at 507-345-7537 and via fax at 507-345-7538.

Location: 99 Navaho Ave, Mankato, MN, 56001-4876
institution
Provider Profile Details
NPI Number
1609012624
Provider Name
Southern Minnesota Periodontics, Pa
Credential
Provider Entity Type
Organization
Address
99 Navaho Ave, Mankato, MN, 56001-4876
Phone Number
507-345-7537
Fax Number
507-345-7538
Provider Enumeration Date
12/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000839878 01 PA UNITED CONCORDIA
737722300 05 MN
1B004JE 01 MN BCBS OF MINNESOTA
institution
Provider Business Practice Location Address Details
Address
99 Navaho Ave
City
State
Zip
56001-4876
Phone Number
507-345-7537
Fax Number
507-345-7538
person
Provider Business Mailing Address Details
Address
99 Navaho Ave
City
State
Zip
56001-4876
Phone Number
507-345-7537
Fax Number
507-345-7538
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
8671 (Minnesota)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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