Saul Ovalle, D.D.S., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D11727 Issued in MN

Practice address

212 Star St
Mankato, MN 56001-4825

Phone

(507) 387-4078

Fax

(507) 387-4055

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629066840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BURNETT LN",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031661",
            "telephone_number": "507-387-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STAR ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014825",
            "telephone_number": "507-387-4078",
            "fax_number": "507-387-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVALLE",
        "first_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D11727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE PLUS GROUP NUMBER",
            "identifier": "41730WA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Osterman, LAT, ATC
• Danielle Oswald, MS, BCBA
• Douglas Wade Otopalik, DDS
• David Alan Otto, D.C.
• Hannah Marie Oudekerk
• Oz Family Dentistry, P.C.
• Katie Marie Pace, CNP
• Celeste Brianne Pacheco
• Frank John Pacovsky, AU.D.
• Roxanna Lynne Padilla, RD, LD

• Pediatric Dentistry in Mankato, MN
• Providers in Mankato, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.