PARK DENTAL
NPI 1245669787
Clinic/Center - Dental in Stillwater, MN

Active since November 05, 2013
13961 60TH ST N, STILLWATER, MN 55082(651) 439-2600(651) 439-2211 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1245669787) is a healthcare organization registered as a dental in Stillwater, Minnesota and active in the NPI registry since November 2013. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1245669787
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, P.A.
Location Address13961 60TH ST NStillwater, MN 55082-1053
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Fax(651) 439-2211
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 5, 2013
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1245669787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13961 60TH ST N, Stillwater, MN 55082

Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES 12

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

Dentist
13961 60TH ST N
STILLWATER, MN 55082
Clinic/Center (Dental)
13961 60TH ST N
STILLWATER, MN 55082
Dentist (Oral and Maxillofacial Surgery)
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist (General Practice)
13961 60TH ST N
STILLWATER, MN 55082
Dentist
13961 60TH ST N
STILLWATER, MN 55082
Dentist (Orthodontics and Dentofacial Orthopedics)
13961 60TH ST N
STILLWATER, MN 55082

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 1245669787. 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 13961 60th St N, Stillwater, MN 55082. The listed phone number is (651) 439-2600.

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.