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PDG, P.A.
NPI 1184288979
Clinic/Center - Dental in Hermantown, MN

Active since April 26, 2019
4891 MILLER TRUCK HWY., SUITE 100, HERMANTOWN, MN 55811(218) 722-7770(218) 740-3234 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Apr 26, 2019 (2 updates tracked since 2019).

About Pdg, P.a. NPPES

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

PDG, P.A. (NPI 1184288979), doing business as Park Dental Hermantown, is a healthcare organization registered as a dental in Hermantown, Minnesota and active in the NPI registry since April 2019. The organization lists Shannon Hesse, Credentialing Specialists, as its authorized official.

NPPES Registry Identity

NPI1184288979
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, P.A.
Location Address4891 MILLER TRUCK HWY., SUITE 100Hermantown, MN 55811
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815
Phone(218) 722-7770
Fax(218) 740-3234
Organization SubpartNo
Authorized OfficialShannon HesseCredentialing Specialists · (651) 746-2815
Enumeration DateApril 26, 2019
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1184288979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4891 MILLER TRUCK HWY., Hermantown, MN 55811
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Other Names 1

Doing Business AsPark Dental Hermantown

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 1184288979. It was assigned to this organization in the NPPES registry on April 26, 2019. The provider is doing business as Park Dental Hermantown.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 4891 Miller Truck Hwy. Suite 100, Hermantown, MN 55811. The listed phone number is (218) 722-7770.

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 with the weekly NPPES data releases published by CMS.