Southern Minnesota Periodontics, Pa
Periodontology Clinic
99 Navaho Ave, Suite 102, Mankato
Minnesota, 56001-4876
507-345-7537 507-345-7538
Maps & DirectionsSouthern Minnesota Periodontics, Pa is a Periodontology Clinic in Mankato, Minnesota. It is located at 99 Navaho Ave, Suite 102, Mankato, MN and its contact number is 507-345-7537. The authorized person for Southern Minnesota Periodontics, Pa is Dr. Gary Jernberg
who is Owner of the clinic and their contact number is 507-345-7537. Other organizations associated with this clinic are Southern Minnesota Periodontics Pa, Southern Minnesota Periodontics, Pa, Gary R. Jernberg, D.d.s., M.s.d., The primary license number for Southern Minnesota Periodontics, Pa is 8671 (Periodontics) in Minnesota.
Southern Minnesota Periodontics, Pa Clinic is specialized in that branch 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.
Complete Clinic Profile:
Southern Minnesota Periodontics, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southern Minnesota Periodontics, Pa |
| Specialization: | Periodontology |
| Clinic Address: | 99 Navaho Ave, Suite 102, Mankato,
Minnesota, 56001-4876 |
| Phone: | 507-345-7537 |
| Fax: | 507-345-7538 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Gary Jernberg |
| Position: | Owner |
| Contact Number: | 507-345-7537 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Minnesota Periodontics, Pa clinic are as mentioned below.
| NPI Number: | 1609012624 |
| NPI Enumeration Date: | 22 Dec, 2008 |
| NPI Last Update On: | 22 Dec, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Southern Minnesota Periodontics Pa | Periodontology | 1316390669 |
| Southern Minnesota Periodontics, Pa | Periodontology | 1609012624 |
| Gary R. Jernberg, D.d.s., M.s.d. | Periodontology | 1851510952 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Minnesota Periodontics, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | 8671 | Minnesota | Primary | |
| Periodontics | 11710 | Minnesota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000839878 | Other | Pennsylvania | United Concordia |
| 737722300 | Medicaid | Minnesota | |
| 1B004JE | Other | Minnesota | Bcbs Of Minnesota |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southern Minnesota Periodontics, Pa
99 Navaho Ave, Suite 102
Mankato, Minnesota |
| Zip: | 56001-4876 |
| Phone Number: | 507-345-7537 |
| Fax Number: | 507-345-7538 |
Patients can reach Southern Minnesota Periodontics, Pa at
99 Navaho Ave, Suite 102, Mankato, Minnesota or can
call to book an appointment on 507-345-7537.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.