PARK DENTAL
NPI 1205265741
Clinic/Center - Dental in Woodbury, MN

Active since November 05, 2013
10150 CITY WALK DR, SUITE C, WOODBURY, MN 55129(651) 714-5555(651) 714-9005 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1205265741) is a healthcare organization registered as a dental in Woodbury, Minnesota and active in the NPI registry since November 2013. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1205265741
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, P.A.
Location Address10150 CITY WALK DR, SUITE CWoodbury, MN 55129-9257
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Fax(651) 714-9005
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 5, 2013
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1205265741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
10150 CITY WALK DR, Woodbury, MN 55129

Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
10150 CITY WALK DR
WOODBURY, MN 55129
Clinic/Center (Dental)
10150 CITY WALK DR, SUITE C
WOODBURY, MN 55129

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 1205265741. It was assigned to this organization in the NPPES registry on November 5, 2013. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 10150 City Walk Dr Suite C, Woodbury, MN 55129. The listed phone number is (651) 714-5555.

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.