PDG, PA
NPI 1285170464
Clinic/Center - Dental in Elk River, MN

Q: What is Pdg, PA's NPI number?

The NPI number for Pdg, PA is 1285170464. It was assigned to this organization in the NPPES registry on January 12, 2017.

Q: What is Pdg, PA'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, PA 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 January 12, 2017

18230 ZANE ST NW, ELK RIVER, MN 55330(763) 201-1313(763) 201-1314 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Jan 12, 2017 (2 updates tracked since 2017).

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About Pdg, Pa NPPES

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

PDG, PA (NPI 1285170464) is a healthcare organization registered as a dental in Elk River, Minnesota and active in the NPI registry since January 2017. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1285170464

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, PA

Location Address18230 ZANE ST NWElk River, MN 55330-4501

Mailing Address2200 County Road C W, 2210Roseville, MN 55113-2550 · (651) 746-2815 · Fax (651) 209-6312

Phone(763) 201-1313

Fax(763) 201-1314

Organization SubpartNo

Authorized OfficialJohn GulonPresident · (651) 633-0500

Enumeration DateJanuary 12, 2017

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1285170464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

18230 ZANE ST NW, Elk River, MN 55330

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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.

KINSLEY JANE KEHLENBECK DDS

Dentist (General Practice)

18230 ZANE ST NW
ELK RIVER, MN 55330

Sherburne County (763) 201-1313

LINDSEY MAYLO KOEHLER DDS

Dentist

18230 ZANE ST NW
ELK RIVER, MN 55330

Sherburne County (763) 201-1313

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 1285170464. It was assigned to this organization in the NPPES registry on January 12, 2017.

Where is Pdg, PA located?

Pdg, PA is located at 18230 Zane St NW, Elk River, MN 55330. The listed phone number is (763) 201-1313.

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 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.