Dr. Travis Andrew Prunty is a Mankato, Minnesota based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Travis Andrew Prunty is
12552 for Dentistry in Minnesota. His current practice location is
730 Madison Ave, Mankato. Patients can reach him at
507-388-3023.
Dr. Travis Andrew Prunty is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Travis Andrew Prunty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Travis Andrew Prunty |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 730 Madison Ave, Mankato,
Minnesota, 56001-6100 |
| Phone: | 507-388-3023 |
| Fax: | 507-388-3353 |
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 are as mentioned below.
| NPI Number: | 1275685190 |
| NPI Enumeration Date: | 18 Jan, 2007 |
| NPI Last Update On: | 18 Jan, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Travis Andrew Prunty are as mentioned below.
| License Number | Specialization | State | Status | |
| 12552 | Dentistry | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Travis Andrew Prunty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 12552 | Medicaid | Minnesota | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 730 Madison Ave,
Mankato, Minnesota |
| Zip: | 56001-6100 |
| Phone Number: | 507-388-3023 |
| Fax Number: | 507-388-3353 |
Patients can reach Dr. Travis Andrew Prunty at
730 Madison Ave, Mankato, Minnesota or can
call to book an appointment on 507-388-3023.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.