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

Jacob Lee Dvorak, DT

Individual provider Dental Therapist · NPI 1174968028

Jacob Lee Dvorak, DT is a Dental Therapist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013

Practice location Address checks out

309 Holly Ln
Mankato, MN 56001-5422
Phone: (507) 388-2120
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence DT23 (MN)

Record details

NPI number1174968028
Entity typeIndividual (Type 1)
GenderMale
Credentials DT
Sole proprietorNo
NPI enumeratedMay 6, 2013
Last updated in NPPESMay 6, 2013

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