PDG,P.A.

General Practice Dentistry · Edina, MN

Organization Active NPI

NPI number 1043807571

Practice location

3300 Edinborough Way Ste 210
Edina, MN 55435-5958
Phone
(952) 831-1112

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NPI record

NPI
1043807571
Entity type
Organization (Type 2)
Enumeration date
December 30, 2020
Last updated
December 30, 2020
Certified
December 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Phone
(651) 633-0500

Authorized official

Name
Shannon Hesse
Title
Credentialing Specialist
Phone
(651) 746-2815

Other names

  • Park Dental Edinborough way

About PDG,P.A.

PDG,P.A. is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3300 Edinborough Way Ste 210, Edina, MN 55435-5958. The NPI number 1043807571 was assigned on December 30, 2020 and the record was last updated on December 30, 2020.

The authorized official for this organization is Shannon Hesse, Credentialing Specialist.

Frequently asked questions

What is the NPI number of PDG,P.A.?

The NPI number is 1043807571.

What is the phone number of PDG,P.A.?

The phone number listed for the practice location is (952) 831-1112.

Where is PDG,P.A. located?

3300 Edinborough Way Ste 210, Edina, MN 55435-5958.

What is the taxonomy code for PDG,P.A.?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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