PDG, PA
NPI 1164813309
Clinic/Center - Dental in Saint Paul, MN

Active since February 10, 2015
2282 COMO AVE, SAINT PAUL, MN 55108(651) 646-1123 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pdg, Pa NPPES

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

PDG, PA (NPI 1164813309) is a healthcare organization registered as a dental in Saint Paul, Minnesota and active in the NPI registry since February 2015. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1164813309
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, PA
Location Address2282 COMO AVESaint Paul, MN 55108-1722
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateFebruary 10, 2015
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1164813309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2282 COMO AVE, Saint Paul, MN 55108

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
2282 COMO AVE
SAINT PAUL, MN 55108

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 1164813309. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Pdg, PA located?

Pdg, PA is located at 2282 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 646-1123.

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 with the weekly NPPES data releases published by CMS.