Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528063955 Individual Practitioner Female Practitioner

Dr. Dawn Marie Stavish , DDS

Dentist • Mankato, MN

Professional Overview & Biography Verified Profile Summary

Dr. Dawn Stavish, DDS is a registered healthcare professional specializing in Dentist in Mankato, MN. Practice services are available at 309 HOLLY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

309 Holly Ln

Mankato, MN 560015422

Telephone 5073882120
Associated Practice Facility / Clinic
🏢 Open Door Health Center Facility NPI 1891740908

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

CMS Verified: 2022-04-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D13185

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.

Secondary Practice Locations

101 Martin Luther King Dr

Mankato, MN 560016460

Phone: 5075946500

Practice Associates & Co-Workers

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

24 Associated Practitioners
NPI 1043949860

Registered Dental Hygienist, MDT

Dr. Meagan Govig , DDS

Dentist - General Practice

NPI 1144361106

Doctor of Dental Surgery

Jacob Dvorak , DT

Dental Therapist

NPI 1174968028
NPI 1194289678

MDT, Registered Dental Hygienist

Payton Pendergast , DT

Dental Therapist

NPI 1265324388
Dr. Jane Mugambi , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1285150813

Doctor of Nursing Practice

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 29, 2019

Registered at 309 HOLLY LN, MANKATO, MN 560015422 (Tel: 5073882120)

📍
Updated Business Mailing Address January 29, 2019

Registered at 309 HOLLY LN, MANKATO, MN 560015422 (Tel: 5073882120)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2019

Dentist (License #D13185 in MN)

NPI Profile Active November 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2013

Registered at 601 E 7TH ST, STE 5, PLATTE, SD 573692123 (Tel: 6053373810)

📍
Updated Business Mailing Address November 15, 2013

Registered at PO BOX 250, PLATTE, SD 573690250 (Tel: 6053373810)

👤
Provider Name / Credentials Updated November 15, 2013

Recorded as DAWN STAVISH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2013

Dentist (License #M925 in SD)

🟢
Initial NPI Registration & Enumeration June 13, 2005

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: 1528063955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: April 08, 2022
Sole Proprietor: No

Mailing Address

309 Holly Ln

Mankato, MN 560015422

Phone: 5073882120

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.