MANKATO FAMILY DENTAL, P.A.
NPI 1912013640
Dentist - General Practice in Mankato, MN

Q: What is Mankato Family Dental, P.A.'s NPI number?

The NPI number for Mankato Family Dental, P.A. is 1912013640. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider was formerly known as Broad Street Family Dental.

Q: What is Mankato Family Dental, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 23, 2006

151 ST ANDREWS CT STE 1120, MANKATO, MN 56001(507) 345-4259(507) 345-4460 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mankato Family Dental, P.a. NPPES

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

MANKATO FAMILY DENTAL, P.A. (NPI 1912013640), doing business as Broad Street Family Dental, is a healthcare organization registered as a general practice in Mankato, Minnesota and active in the NPI registry since August 2006. The organization lists Christopher Kelly Meehan, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1912013640

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMANKATO FAMILY DENTAL, P.A.

Location Address151 ST ANDREWS CT STE 1120Mankato, MN 56001

Mailing Address151 St Andrews Ct Ste 1120Mankato, MN 56001 · (507) 345-4259 · Fax (507) 345-4460

Phone(507) 345-4259

Fax(507) 345-4460

Organization SubpartNo

Authorized OfficialChristopher Kelly MeehanDds/owner · (507) 345-4259

Enumeration DateAugust 23, 2006

Last NPPES UpdateMay 3, 2016

✔ NPI 1912013640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in MN · 10009✔ Licensed in MN · 12148

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

151 ST ANDREWS CT STE 1120, Mankato, MN 56001

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Other Names 1

Former Legal Business NameBroad Street Family Dental

Other Identifiers 2

Other1285610022MN · Individual Under Corporat

Other1770572877MN · Other Provider Under Corp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mankato Family Dental, P.A.'s NPI number?

The NPI number for Mankato Family Dental, P.A. is 1912013640. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider was formerly known as Broad Street Family Dental.

Where is Mankato Family Dental, P.A. located?

Mankato Family Dental, P.A. is located at 151 St Andrews Ct Ste 1120, Mankato, MN 56001. The listed phone number is (507) 345-4259.

What is Mankato Family Dental, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mankato Family Dental, P.A. was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.