IndividualActive
Gary Jernberg, D.D.S., M.S.D.
NPI 1164420675 · Periodontics · Mankato, MN
Provider details
- NPI number
- 1164420675
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S., M.S.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8671 (MN)
Specialties & taxonomies
Dental Providers
Practice location
99 Navaho Ave
Suite 102
Mankato, MN 56001-4876
Phone: (507) 345-7537
Fax: (507) 345-7538
Approximate (ZIP-level) locationGet directions
Mailing address
99 Navaho Ave
Mankato, MN 56001-4876
Registry dates
- Enumerated
- 2005-07-08
- Last updated
- 2011-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.