PDG,P.A.

General Practice Dentistry · Coon Rapids, MN

Organization Active NPI

NPI number 1821164963

Practice location

9145 Springbrook Dr NW
Suite 100
Coon Rapids, MN 55433-5885
Phone
(763) 786-4632
Fax
(763) 786-8673

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NPI record

NPI
1821164963
Entity type
Organization (Type 2)
Enumeration date
November 28, 2006
Last updated
October 28, 2020
Certified
October 28, 2020
Organization subpart
Yes
Parent organization
PDG, P.A.

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

2200 County Road C W
Suite 2210
Roseville, MN 55113-2504
Phone
(651) 633-0500
Fax
(651) 636-6350

Authorized official

Name
Dr. John Gulon, D.D.S.
Title
President
Phone
(651) 633-0500

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 9145 Springbrook Dr NW, Suite 100, Coon Rapids, MN 55433-5885. The NPI number 1821164963 was assigned on November 28, 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 1821164963.

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

The phone number listed for the practice location is (763) 786-4632.

Where is PDG,P.A. located?

9145 Springbrook Dr NW, Suite 100, Coon Rapids, MN 55433-5885.

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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