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

Pediatric and Adolescent Dentistry

Organization Pediatric Dentistry · NPI 1699747378

Pediatric and Adolescent Dentistry is a Pediatric Dentistry in Mankato, Minnesota. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

212 Star St
Mankato, MN 56001-4825
Phone: (507) 387-4784
Fax: (507) 387-4078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1699747378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Walton — Owner · (507) 387-4784
NPI enumeratedFebruary 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address212 Star St, Mankato, MN 56001-4825

Other providers in Mankato