IndividualActive
Jacob Dvorak, DT
NPI 1174968028 · Dental Therapist · Mankato, MN
Provider details
- NPI number
- 1174968028
- Entity type
- Individual
- Primary specialty
- Dental TherapistDental Providers
- Credential
- DT
- Sex
- Male
- Sole proprietor
- No
- License
- DT23 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 Holly Ln
Mankato, MN 56001-5422
Phone: (507) 388-2120
Street-level locationGet directions
Mailing address
2018 Meadow St
Cologne, MN 55322-9069
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2013-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.