Travis Prunty Dds Pllc in Mankato - Dental
Travis Prunty Dds Pllc - NPI 1235395476
Travis Prunty Dds Pllc is a Dental in Mankato, Minnesota. Travis Prunty Dds Pllc practices all healthcare services and medical treatments related to Dental. The NPI Number for Travis Prunty Dds Pllc is 1235395476. The last update date is 2008-08-06.
Travis Prunty Dds Pllc's current location address is Po Box 894, Mankato, Minnesota. You can contact this provider via phone number 5073883023 and fax number 5073883353. The mailing address for Travis Prunty Dds Pllc is Po Box 894, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Travis Prunty Dds Pllc |
|---|---|
| Address | Po Box 894, Mankato, Minnesota |
| Phone Number | 5073883023 |
| Fax Number | 5073883353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DDS |
|---|---|
| Authorized Official Name | Prunty Andrew Travis |
| Telephone Number | 5073883023 |
NPI Number Detail
| NPI Number | 1235395476 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | Po Box 894 |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560020894 |
| Phone Number | 5073883023 |
| Fax Number | 5073883353 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D12552 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the Travis Prunty Dds Pllc's 1235395476?
The Travis Prunty Dds Pllc's NPI (National Provider Identifier) Number is 1235395476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Travis Prunty Dds Pllc is geographically located?
The Travis Prunty Dds Pllc is physically situated at the following location: Po Box 894, Mankato, MN, 560020894.
What is Travis Prunty Dds Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Travis Prunty Dds Pllc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When did Travis Prunty Dds Pllc receive its 1235395476 assignment?
The Travis Prunty Dds Pllc was assigned its 1235395476 on 2008-08-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Travis Prunty Dds Pllc most recently updated or revised?
The information pertaining to Travis Prunty Dds Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-06.