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

Southern Minnesota Periodontics PA

Organization Periodontics · NPI 1316390669

Southern Minnesota Periodontics PA is a Periodontics in Mankato, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
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

99 Navaho Ave Ste #102
Mankato, MN 56001-4876
Phone: (507) 345-7537
Fax: (507) 345-7538
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1316390669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sergey Dolgov — Owner · (786) 487-1190
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 22, 2016
Mailing address99 Navaho Ave, Suite #102, Mankato, MN 56001-4876

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