PARK DENTAL
NPI 1205265535
Clinic/Center - Dental in Lakeville, MN

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

The NPI number for Pdg, P.A. is 1205265535. It was assigned to this organization in the NPPES registry on November 7, 2013. The provider is doing business as Park Dental.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Pdg, P.A. 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.

Active since November 07, 2013

17436 KENWOOD TRL, LAKEVILLE, MN 55044(952) 241-5899(952) 241-5897 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Park Dental NPPES

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

PARK DENTAL (NPI 1205265535) is a healthcare organization registered as a dental in Lakeville, Minnesota and active in the NPI registry since November 2013. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1205265535

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, P.A.

Location Address17436 KENWOOD TRLLakeville, MN 55044-9219

Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350

Phone(952) 241-5899

Fax(952) 241-5897

Organization SubpartNo

Authorized OfficialJohn GulonPresident · (651) 633-0500

Enumeration DateNovember 7, 2013

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1205265535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

17436 KENWOOD TRL, Lakeville, MN 55044

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Other Names 1

Doing Business AsPark Dental

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. MYRON A HENRICKSON DDS

Dentist (General Practice)

17436 KENWOOD TRL
LAKEVILLE, MN 55044

Dakota County (952) 241-5899

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 1205265535. It was assigned to this organization in the NPPES registry on November 7, 2013. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 17436 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (952) 241-5899.

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 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.