PDG, P.A.

General Practice Dentistry · Apple Valley, MN

Organization Active NPI

NPI number 1841366093

Practice location

14990 Glazier Ave
Suite 100
Apple Valley, MN 55124-7818
Phone
(952) 431-5114

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NPI record

NPI
1841366093
Entity type
Organization (Type 2)
Enumeration date
November 28, 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 14990 Glazier Ave, Suite 100, Apple Valley, MN 55124-7818. The NPI number 1841366093 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 1841366093.

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

The phone number listed for the practice location is (952) 431-5114.

Where is PDG, P.A. located?

14990 Glazier Ave, Suite 100, Apple Valley, MN 55124-7818.

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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