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FACIAL PAIN CENTER
NPI 1104201284
Clinic/Center - Dental in Roseville, MN

Active since July 30, 2015
1835 COUNTY ROAD C W, SUITE 200, ROSEVILLE, MN 55113(651) 209-7088(651) 636-1118 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Jun 12, 2018, Feb 22, 2018 (3 updates tracked since 2018).

About Facial Pain Center NPPES

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

FACIAL PAIN CENTER (NPI 1104201284) is a healthcare organization registered as a dental in Roseville, Minnesota and active in the NPI registry since July 2015. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1104201284
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, PA
Location Address1835 COUNTY ROAD C W, SUITE 200Roseville, MN 55113
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Phone(651) 209-7088
Fax(651) 636-1118
Organization SubpartYesParent: Pdg, P.a.
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateJuly 30, 2015
Last NPPES UpdateOctober 28, 20203 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1104201284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1835 COUNTY ROAD C W, Roseville, MN 55113
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Other Names 1

Doing Business AsFacial Pain Center

Other Providers at the Same Location NPPES 16

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

DR. KIRK ROLAND BAUMGARDNER DDS, PHD
Dentist (Endodontics)
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 746-0587
DR. ANN PARKS NAPP AU.D.
Audiologist-Hearing Aid Fitter
1835 COUNTY ROAD C W, SUITE 80
ROSEVILLE, MN 55113
Ramsey County (651) 638-9981
KATHERINE HAILEY LAKE OTR/L
Occupational Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
MR. FREDERICK CARL HJELM P.T.
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080
DR. PAMELA JEAN HOLM DDS
Dentist (General Practice)
1835 COUNTY ROAD C W, #220
ROSEVILLE, MN 55113
Ramsey County (651) 636-2123
LAUREN SUNDICK RPA-C
Physician Assistant
1835 COUNTY ROAD C W, SUITE 250
ROSEVILLE, MN 55113
Ramsey County (651) 633-6883
DAVID T CHANG MD
Neurological Surgery
1835 COUNTY ROAD C W, SUITE 150
ROSEVILLE, MN 55113
Ramsey County (651) 430-3800
MR. MATTHEW STUART KAUFENBERG PT
Physical Therapist
1835 COUNTY ROAD C W
ROSEVILLE, MN 55113
Ramsey County (651) 638-0080

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, PA's NPI number?

The NPI number for Pdg, PA is 1104201284. It was assigned to this organization in the NPPES registry on July 30, 2015. The provider is doing business as Facial Pain Center.

Where is Pdg, PA located?

Pdg, PA is located at 1835 County Road C W Suite 200, Roseville, MN 55113. The listed phone number is (651) 209-7088.

What is Pdg, PA'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, PA 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.