PDG,P.A.
NPI 1043807571
Dentist - General Practice in Edina, MN

Q: What is Pdg,p.A.'s NPI number?

The NPI number for Pdg,p.A. is 1043807571. It was assigned to this organization in the NPPES registry on December 30, 2020. The provider is doing business as Park Dental Edinborough way.

Q: What is Pdg,p.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Pdg,p.A. was last updated on December 30, 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.

Active since December 30, 2020

3300 EDINBOROUGH WAY STE 210, EDINA, MN 55435(952) 831-1112 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Pdg,p.a. NPPES

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

PDG,P.A. (NPI 1043807571), doing business as Park Dental Edinborough Way, is a healthcare organization registered as a general practice in Edina, Minnesota and active in the NPI registry since December 2020. The organization lists Shannon Hesse, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043807571

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePDG,P.A.

Location Address3300 EDINBOROUGH WAY STE 210Edina, MN 55435-5958

Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 633-0500

Phone(952) 831-1112

Organization SubpartNo

Authorized OfficialShannon HesseCredentialing Specialist · (651) 746-2815

Enumeration DateDecember 30, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1043807571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3300 EDINBOROUGH WAY STE 210, Edina, MN 55435

Open in Google Maps ↗

Other Names 1

Doing Business AsPark Dental Edinborough Way

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1043807571. It was assigned to this organization in the NPPES registry on December 30, 2020. The provider is doing business as Park Dental Edinborough way.

Where is Pdg,p.A. located?

Pdg,p.A. is located at 3300 Edinborough Way Ste 210, Edina, MN 55435. The listed phone number is (952) 831-1112.

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

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pdg,p.A. was last updated on December 30, 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.