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PDG, PA
NPI 1144780420
Clinic/Center - Dental in Duluth, MN

Active since March 22, 2019
906 WOODLAND AVE, DULUTH, MN 55812(218) 606-1040(218) 606-1060 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Mar 22, 2019 (2 updates tracked since 2019).

About Pdg, Pa NPPES

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

PDG, PA (NPI 1144780420), doing business as Park Dental Bluestone, is a healthcare organization registered as a dental in Duluth, Minnesota and active in the NPI registry since March 2019. The organization lists Shannon Hesse, Credentialing Specialists, as its authorized official.

NPPES Registry Identity

NPI1144780420
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, PA
Location Address906 WOODLAND AVEDuluth, MN 55812-1113
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815
Phone(218) 606-1040
Fax(218) 606-1060
Organization SubpartNo
Authorized OfficialShannon HesseCredentialing Specialists · (651) 746-2815
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1144780420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
906 WOODLAND AVE, Duluth, MN 55812
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Other Names 1

Doing Business AsPark Dental Bluestone

Other Providers at the Same Location NPPES

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

DR. WHITNEY CHRISTINE HUSTAD DAVIDSON DDS
Dentist (General Practice)
906 WOODLAND AVE
DULUTH, MN 55812
St. Louis County (218) 606-1040

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 1144780420. It was assigned to this organization in the NPPES registry on March 22, 2019. The provider is doing business as Park Dental BlueStone.

Where is Pdg, PA located?

Pdg, PA is located at 906 Woodland Ave, Duluth, MN 55812. The listed phone number is (218) 606-1040.

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.