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SOUTHERN MINNESOTA ENDODONTICS LLC
NPI 1891308979
Dentist - Endodontics in Mankato, MN

Active since August 28, 2020
1570 ADAMS ST, MANKATO, MN 56001(507) 386-0288 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Minnesota Endodontics Llc NPPES

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

SOUTHERN MINNESOTA ENDODONTICS LLC (NPI 1891308979), doing business as Southern Minnesota Endodontics, is a healthcare organization registered as an endodontics in Mankato, Minnesota and active in the NPI registry since August 2020. The organization lists Sara Rundle, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1891308979
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSOUTHERN MINNESOTA ENDODONTICS LLC
Location Address1570 ADAMS STMankato, MN 56001-5192
Mailing Address1570 Adams StMankato, MN 56001-5192
Phone(507) 386-0288
Organization SubpartNo
Authorized OfficialSara RundlePractice Administrator · (507) 386-0288
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1891308979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1570 ADAMS ST, Mankato, MN 56001
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Other Names 1

Doing Business AsSouthern Minnesota Endodontics

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.

DR. JESS ANDREW KELLY D.D.S., M.S.
Dentist (Endodontics)
1570 ADAMS ST
MANKATO, MN 56001
Blue Earth County (507) 386-0288
JENNIE HARRIS
Dentist (Endodontics)
1570 ADAMS ST
MANKATO, MN 56001
Blue Earth County (507) 386-0288
KYLE NELSON DDS, MS
Dentist (Endodontics)
1570 ADAMS ST
MANKATO, MN 56001
Blue Earth County (507) 386-0288
DR. SCOTT B. PETERS D.D.S., M.S.
Dentist
1570 ADAMS ST
MANKATO, MN 56001
Blue Earth County (507) 386-0288
DR. PAUL BENJAMIN HILFER DDS
Dentist (Endodontics)
1570 ADAMS ST
MANKATO, MN 56001
Blue Earth County (507) 386-0288

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 Southern Minnesota Endodontics LLC's NPI number?

The NPI number for Southern Minnesota Endodontics LLC is 1891308979. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Southern Minnesota Endodontics.

Where is Southern Minnesota Endodontics LLC located?

Southern Minnesota Endodontics LLC is located at 1570 Adams St, Mankato, MN 56001. The listed phone number is (507) 386-0288.

What is Southern Minnesota Endodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Southern Minnesota Endodontics LLC was last updated on August 28, 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.