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DR. TRAVIS ANDREW PRUNTY DDS
NPI 1275685190
Dentist in Mankato, MN

Active since January 18, 2007
730 MADISON AVE, MANKATO, MN 56001(507) 388-3023(507) 388-3353 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Travis Andrew Prunty Dds NPPES

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

DR. TRAVIS ANDREW PRUNTY DDS (NPI 1275685190) is an individual dentist in Mankato, Minnesota, licensed in Minnesota (12552) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1275685190
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TRAVIS ANDREW PRUNTYCredential: DDS
Location Address730 MADISON AVEMankato, MN 56001-6100
Mailing Address730 Madison AveMankato, MN 56001-6100 · (507) 388-3023 · Fax (507) 388-3353
Phone(507) 388-3023
Fax(507) 388-3353
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1275685190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 12552
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
730 MADISON AVE, Mankato, MN 56001
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Other Identifiers 1

Medicaid12552MN

Other Providers at the Same Location NPPES

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

DR. JAMES PAUL KNUDSON DDS
Dentist
730 MADISON AVE
MANKATO, MN 56001
Blue Earth County (507) 388-3023

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's NPI number?

The NPI number for Travis Prunty is 1275685190. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Travis Prunty located?

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

What is Travis Prunty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Travis Prunty was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.