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

Dr. Travis Andrew Prunty, DDS

Individual provider Dentist · NPI 1275685190

Dr. Travis Andrew Prunty, DDS is a Dentist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

730 Madison Ave
Mankato, MN 56001-6100
Phone: (507) 388-3023
Fax: (507) 388-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12552 (MN)

Record details

NPI number1275685190
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJanuary 18, 2017
Mailing address730 Madison Ave, Mankato, MN 56001-6100

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