PEDIATRIC AND ADOLESCENT DENTISTRY
NPI 1699747378
Dentist - Pediatric Dentistry in Mankato, MN

Active since February 06, 2006
212 STAR ST, MANKATO, MN 56001(507) 387-4784(507) 387-4078 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric And Adolescent Dentistry NPPES

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

PEDIATRIC AND ADOLESCENT DENTISTRY (NPI 1699747378) is a healthcare organization registered as a pediatric dentistry in Mankato, Minnesota and active in the NPI registry since February 2006. The organization lists James Lowell Walton, Owner, as its authorized official.

NPPES Registry Identity

NPI1699747378
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC AND ADOLESCENT DENTISTRY
Location Address212 STAR STMankato, MN 56001-4825
Mailing Address212 Star StMankato, MN 56001-4825 · (507) 387-4784 · Fax (507) 387-4078
Fax(507) 387-4078
Organization SubpartNo
Authorized OfficialJames Lowell WaltonOwner · (507) 387-4784
Enumeration DateFebruary 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1699747378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
212 STAR ST, Mankato, MN 56001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Dentist (Pediatric Dentistry)
212 STAR ST
MANKATO, MN 56001
Dentist (Pediatric Dentistry)
212 STAR ST
MANKATO, MN 56001
Dentist (Pediatric Dentistry)
212 STAR ST
MANKATO, MN 56001
Dentist (Pediatric Dentistry)
212 STAR ST
MANKATO, MN 56001
Dentist (Pediatric Dentistry)
212 STAR ST
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 Pediatric And Adolescent Dentistry's NPI number?

The NPI number for Pediatric And Adolescent Dentistry is 1699747378. It was assigned to this organization in the NPPES registry on February 6, 2006.

Where is Pediatric And Adolescent Dentistry located?

Pediatric And Adolescent Dentistry is located at 212 Star St, Mankato, MN 56001. The listed phone number is (507) 387-4784.

What is Pediatric And Adolescent Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric And Adolescent Dentistry was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.