Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mankato Family Dental, PA

Organization General Practice Dentistry · NPI 1912013640

Mankato Family Dental, PA is a General Practice Dentistry in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

151 St Andrews Ct Ste 1120
Mankato, MN 56001
Phone: (507) 345-4259
Fax: (507) 345-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10009 (MN)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12148 (MN)

Record details

NPI number1912013640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Meehan — Dds/Owner · (507) 345-4259
Other names Broad Street Family Dental
NPI enumeratedAugust 23, 2006
Last updated in NPPESMay 3, 2016
Mailing address151 St Andrews Ct Ste 1120, Mankato, MN 56001

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