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GARY R. JERNBERG, D.D.S., M.S.D.
NPI 1851510952
Dentist - Periodontics in Mankato, MN

Active since April 25, 2007
99 NAVAHO AVE, SUITE 102, MANKATO, MN 56001(507) 345-7537(507) 345-7538 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary R. Jernberg, D.d.s., M.s.d. NPPES

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

GARY R. JERNBERG, D.D.S., M.S.D. (NPI 1851510952) is a healthcare organization registered as a periodontics in Mankato, Minnesota and active in the NPI registry since April 2007. The organization lists Gary Robert Jernberg, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1851510952
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGARY R. JERNBERG, D.D.S., M.S.D.
Location Address99 NAVAHO AVE, SUITE 102Mankato, MN 56001-4876
Mailing Address99 Navaho Ave, Suite 102Mankato, MN 56001-4876 · (507) 345-7537 · Fax (507) 345-7538
Phone(507) 345-7537
Fax(507) 345-7538
Organization SubpartNo
Authorized OfficialGary Robert JernbergPeriodontist · (507) 345-7537
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1851510952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

99 NAVAHO AVE, Mankato, MN 56001
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Other Identifiers 1

Other1B004JEMN · Bcbs Of Mn

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 3

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

DR. GARY ROBERT JERNBERG D.D.S., M.S.D.
Dentist (Periodontics)
99 NAVAHO AVE, SUITE 102
MANKATO, MN 56001
Blue Earth County (507) 345-7537
SOUTHERN MINNESOTA PERIODONTICS PA
Dentist (Periodontics)
99 NAVAHO AVE, SUITE #102
MANKATO, MN 56001
Blue Earth County (507) 345-7537
SOUTHERN MINNESOTA PERIODONTICS, PA
Dentist (Periodontics)
99 NAVAHO AVE, SUITE 102
MANKATO, MN 56001
Blue Earth County (507) 345-7537

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 Gary R. Jernberg, D.D.S., M.S.D.'s NPI number?

The NPI number for Gary R. Jernberg, D.D.S., M.S.D. is 1851510952. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Gary R. Jernberg, D.D.S., M.S.D. located?

Gary R. Jernberg, D.D.S., M.S.D. is located at 99 Navaho Ave Suite 102, Mankato, MN 56001. The listed phone number is (507) 345-7537.

What is Gary R. Jernberg, D.D.S., M.S.D.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Gary R. Jernberg, D.D.S., M.S.D. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.