TRAVIS PRUNTY DDS PLLC
NPI 1235395476
Clinic/Center - Dental in Mankato, MN

Active since August 06, 2008
730 E MADISON AVE, MANKATO, MN 56001(507) 388-3023(507) 388-3353 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis Prunty Dds Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS PRUNTY DDS PLLC (NPI 1235395476) is a healthcare organization registered as a dental in Mankato, Minnesota and active in the NPI registry since August 2008. The organization lists Travis Andrew Prunty, Dds, as its authorized official.

NPPES Registry Identity

NPI1235395476
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTRAVIS PRUNTY DDS PLLC
Location Address730 E MADISON AVEMankato, MN 56001-6100
Mailing AddressPo Box 894Mankato, MN 56002-0894 · (507) 388-3023 · Fax (507) 388-3353
Fax(507) 388-3353
Organization SubpartNo
Authorized OfficialTravis Andrew PruntyDds · (507) 388-3023
Enumeration DateAugust 6, 2008
NPI 1235395476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MN · D12552
730 E MADISON AVE, Mankato, MN 56001

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
730 E MADISON AVE
MANKATO, MN 56001
Dentist (General Practice)
730 E MADISON AVE
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Prunty Dds PLLC's NPI number?

The NPI number for Travis Prunty Dds PLLC is 1235395476. It was assigned to this organization in the NPPES registry on August 6, 2008.

Where is Travis Prunty Dds PLLC located?

Travis Prunty Dds PLLC is located at 730 E Madison Ave, Mankato, MN 56001. The listed phone number is (507) 388-3023.

What is Travis Prunty Dds PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Travis Prunty Dds PLLC was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.