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PARK DENTAL
NPI 1023309549
Clinic/Center - Dental in Minneapolis, MN

Active since May 02, 2011
2600 39TH AVE NE, 225, MINNEAPOLIS, MN 55421(763) 781-7475(763) 781-0828 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK DENTAL (NPI 1023309549) is a healthcare organization registered as a dental in Minneapolis, Minnesota and active in the NPI registry since May 2011. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1023309549
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, P.A.
Location Address2600 39TH AVE NE, 225Minneapolis, MN 55421-4379
Mailing Address2200 County Road C W, 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Phone(763) 781-7475
Fax(763) 781-0828
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateMay 2, 2011
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1023309549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2600 39TH AVE NE, Minneapolis, MN 55421
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Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK D LOEW PA-C
Physician Assistant
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (612) 706-2900
AMY O. SCHELLER PA-C
Physician Assistant
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (612) 706-2900
SILVER LAKE CLINIC
Clinic/Center (Primary Care)
2600 39TH AVE NE
ST ANTHONY, MN 55421
Anoka County (612) 706-2900
DR. MARK ROLLINS BIXBY M.D.
Family Medicine
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (612) 706-2900
TAYLOR EASLEY M.D.
Internal Medicine
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (763) 581-5500
MEGAN FRANCOIS PA-C
Physician Assistant
2600 39TH AVE NE
SAINT ANTHONY, MN 55421
Anoka County (763) 581-5500
GERALD A PITZL M.D.
Family Medicine
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (612) 706-2900
LESLIE O NORTON M.D.
Family Medicine
2600 39TH AVE NE
MINNEAPOLIS, MN 55421
Anoka County (612) 706-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pdg, P.A.'s NPI number?

The NPI number for Pdg, P.A. is 1023309549. It was assigned to this organization in the NPPES registry on May 2, 2011. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 2600 39th Ave NE 225, Minneapolis, MN 55421. The listed phone number is (763) 781-7475.

What is Pdg, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pdg, P.A. was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.