Payton Lee Pendergast, DT

NPI #1265324388 in Mankato, Minnesota

Provider Information

NPI Number: 1265324388
Entity Type: Individual
Name: Payton Lee Pendergast, DT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Therapist
Credential: DT
Enumeration Date: Jul 15, 2025
Last Updated: Oct 13, 2025

Practice Location

Address: 309 HOLLY LN
City: Mankato
State: Minnesota
ZIP Code: 56001-5422
Phone: (507) 388-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Therapist	125J00000X	Primary

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