NPI 1265324388

Payton Lee Pendergast, DT

Practitioner Dental Therapist Mankato, MN

Practice location

Address: 309 Holly Ln, Mankato, MN 56001-5422
Phone: (507) 388-2120

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence DT189 (MN)

Other Dental Therapist providers in Minnesota →

Registry record

NPI: 1265324388
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2025
Record last updated: 13 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.