PAYTON PENDERGAST, DT
Dental Therapist
Active
Individual
NPI: 1265324388
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | Yes | DT189 (MN) |
Frequently Asked Questions
NPI 1265324388 is the National Provider Identifier for PAYTON PENDERGAST, DT, a Dental Therapist provider located in Mankato, MN. This NPI was enumerated on July 15, 2025.
PAYTON PENDERGAST, DT practices at 309 HOLLY LN, Mankato, MN 56001.
Quick Facts
- NPI
- 1265324388
- Type
- Individual
- Enumerated
- Jul 15, 2025
- Last Updated
- Oct 13, 2025
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