PEDIATRIC AND ADOLESCENT DENTISTRY – Pediatric Dentistry, NPI 1699747378

PEDIATRIC AND ADOLESCENT DENTISTRY is a healthcare provider. based in Mankato, Minnesota. specializing in Pediatric Dentistry. The NPI Number for PEDIATRIC AND ADOLESCENT DENTISTRY is 1699747378

Main info

Organization
Name
PEDIATRIC AND ADOLESCENT DENTISTRY
NPI
1699747378
Phone
(507) 387-4784
Address
212 STAR ST
Authorized Official
DR. JAMES LOWELL WALTON OWNER DDS
Enumeration Date
6 February 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for PEDIATRIC AND ADOLESCENT DENTISTRY

  • Pediatric and Adolescent Dentistry, 212, Star Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014825

    Phone: (507) 387-4784

    Fax: (507) 387-4078

    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

What number should I use to identify PEDIATRIC AND ADOLESCENT DENTISTRY for billing?
Administrative and clinical systems typically use NPI 1699747378 for PEDIATRIC AND ADOLESCENT DENTISTRY.
Is PEDIATRIC AND ADOLESCENT DENTISTRY's NPI status active today?
Active status means PEDIATRIC AND ADOLESCENT DENTISTRY's NPI record is not deactivated in the public file.
What services align with PEDIATRIC AND ADOLESCENT DENTISTRY's listing?
PEDIATRIC AND ADOLESCENT DENTISTRY's public classification highlights Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What city is tied to PEDIATRIC AND ADOLESCENT DENTISTRY?
The directory associates PEDIATRIC AND ADOLESCENT DENTISTRY with Mankato, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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