SOUTHERN MINNESOTA PERIODONTICS PA – Periodontics, NPI 1316390669

SOUTHERN MINNESOTA PERIODONTICS PA is a healthcare provider. based in Mankato, Minnesota. specializing in Periodontics. The NPI Number for SOUTHERN MINNESOTA PERIODONTICS PA is 1316390669

Main info

Organization
Name
SOUTHERN MINNESOTA PERIODONTICS PA
NPI
1316390669
Phone
(507) 345-7537
Address
99 NAVAHO AVE
Authorized Official
DR. SERGEY BORISOVICH DOLGOV OWNER
Enumeration Date
21 July 2016
Last Update Date
22 July 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHERN MINNESOTA PERIODONTICS PA

  • 99, Navaho Avenue, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    SUITE #102

    MANKATO, MN 560014876

    Phone: (507) 345-7537

    Fax: (507) 345-7538

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Reviews

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Frequently asked questions

Can I cross-check SOUTHERN MINNESOTA PERIODONTICS PA using NPI 1316390669?
NPI 1316390669 belongs to SOUTHERN MINNESOTA PERIODONTICS PA; compare other details if you need extra assurance.
Would SOUTHERN MINNESOTA PERIODONTICS PA appear as active to a payer?
You can treat SOUTHERN MINNESOTA PERIODONTICS PA as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SOUTHERN MINNESOTA PERIODONTICS PA's focus?
For SOUTHERN MINNESOTA PERIODONTICS PA, the primary taxonomy reads as Periodontics. Clinical services aligned with this taxonomy classification.
Is SOUTHERN MINNESOTA PERIODONTICS PA located near Mankato?
SOUTHERN MINNESOTA PERIODONTICS PA currently maps to Mankato, Minnesota in this extract.
Can I trust this NPI listing for SOUTHERN MINNESOTA PERIODONTICS PA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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