Individual provider · Type 1 NPI
Gary Robert Jernberg, DDS, M.S.D.
Periodontics · Mankato, MN
NPI number
1164420675
Active
Practice location
99 Navaho Ave, Suite 102
Mankato, MN 56001-4876
Fax (507) 345-7538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 8671 (MN) |
Periodontics: 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.
3 other providers at this address
About NPI 1164420675
Gary Robert Jernberg, DDS, M.S.D.'s National Provider Identifier is 1164420675, issued on Jul 8, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mankato, MN. The record was last updated on Jan 28, 2011.