PDG,P.A.

General Practice Dentistry · Prior Lake, MN

Organization Active NPI

NPI number 1689732133

Practice location

4670 Park Nicollet Ave SE
Suite 100
Prior Lake, MN 55372-3908
Phone
(952) 447-7606

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NPI record

NPI
1689732133
Entity type
Organization (Type 2)
Enumeration date
December 5, 2006
Last updated
October 28, 2020
Certified
October 28, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

3030 Centre Pointe Dr
Suite 100
Roseville, MN 55113-1112
Phone
(651) 286-8100
Fax
(651) 633-6811

Authorized official

Name
Dr. John Gulon, D.D.S.
Title
President
Phone
(952) 949-2536

Other names

  • Park Dental

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 4670 Park Nicollet Ave SE, Suite 100, Prior Lake, MN 55372-3908. The NPI number 1689732133 was assigned on December 5, 2006 and the record was last updated on October 28, 2020.

The authorized official for this organization is Dr. John Gulon, D.D.S., President.

Frequently asked questions

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

The NPI number is 1689732133.

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

The phone number listed for the practice location is (952) 447-7606.

Where is PDG,P.A. located?

4670 Park Nicollet Ave SE, Suite 100, Prior Lake, MN 55372-3908.

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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