Gary R. Jernberg, D.D.S., M.S.D.

LBN: Gary R. Jernberg, D.D.S., M.S.D.
Gary R. Jernberg, D.D.S., M.S.D. is an health care organization with primary practice located at 99 Navaho Ave Suite 102, Mankato MN 56001-4876. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Gary R. Jernberg, D.D.S., M.S.D. can be contacted via phone (507) 345-7537, or through Jernberg, Gary Robert via phone (507) 345-7537.

Contact Information

Primary practice address
99 Navaho Ave Suite 102 Mankato MN 56001-4876
Fax: (507) 345-7538
Website:
Authorized official contact:
Name: Jernberg, Gary Robert DDS,MSD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1851510952
LBN Legal business name Gary R. Jernberg, D.D.S., M.S.D.
DBA Doing business as
Authorized official Jernberg, Gary Robert DDS,MSD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851510952 NPPES
Minnesota Other 1B004JE BCBS OF MN

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