NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Minnesota Periodontics PA

Periodontics in Mankato, MN · enumerated 2016 · authorized official Sergey Dolgov, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316390669

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Southern Minnesota Periodontics PA
Practice address 99 Navaho Ave, Suite #102, Mankato, MN, 56001
Phone (507) 345-7537
Fax (507) 345-7538
Enumeration date Jul 21, 2016
Last updated in NPPES Jul 22, 2016

Taxonomy & classification

1223P0300X Periodontics Dental Providers Primary

Authorized official

Name Sergey Dolgov
Title Owner
Phone (786) 487-1190

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Southern Minnesota Periodontics PA?
NPPES lists Sergey Dolgov (Owner) as the authorized official for this organization.
What is the NPI number for Southern Minnesota Periodontics PA?
The NPI for Southern Minnesota Periodontics PA is 1316390669, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-22.