Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275685190 Individual Practitioner Male Practitioner

Dr. Travis Andrew Prunty , DDS

Dentist • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Travis Prunty, DDS is a registered healthcare professional specializing in Dentist in Mankato, MN. Practice services are available at 730 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

730 Madison Ave

Mankato, MN 560016100

Telephone 5073883023
Fax 5073883353
Associated Practice Facility / Clinic
🏢 Travis Prunty Dds Pllc Facility NPI 1235395476

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mankato, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
25 Specialists

Practicing in Mankato, MN (1863 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN 12552

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12552 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003907122

DDSPA

NPI 1508878604

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 730 MADISON AVE, MANKATO, MN 560016100 (Tel: 5073883023)

📍
Updated Business Mailing Address January 18, 2017

Registered at 730 MADISON AVE, MANKATO, MN 560016100 (Tel: 5073883023)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as TRAVIS PRUNTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Dentist (License #12552 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 30699 WALLMARK LAKE DR, CHISAGO CITY, MN 550139335 (Tel: 6512578248)

📍
Updated Business Mailing Address July 08, 2007

Registered at 30699 WALLMARK LAKE DR, CHISAGO CITY, MN 550139335 (Tel: 6512578248)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TRAVIS PRUNTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5888 in WI)

🟢
Initial NPI Registration & Enumeration January 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275685190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: January 18, 2017
Sole Proprietor: No

Mailing Address

730 Madison Ave

Mankato, MN 560016100

Phone: 5073883023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.