Payton Pendergast, DT

NPI 1265324388 · on the registry since 2025

Practice

Address: 309 Holly Ln
Mankato, MN 56001
Phone: (507) 388-2120
Organisation at this address: Genoa Healthcare Llc
Open Door Health Center
Open Door Health Center
Open Door Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: Dental Therapist
125J00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota