Southern 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.