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PARK DENTAL
NPI 1285700302
Dentist - General Practice in Columbia Heights, MN

Active since November 28, 2006
4000 CENTRAL AVE NE, #308, COLUMBIA HEIGHTS, MN 55421(763) 781-7475 Get Directions Write a Review

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

About Park Dental NPPES

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

PARK DENTAL (NPI 1285700302) is a healthcare organization registered as a general practice in Columbia Heights, Minnesota and active in the NPI registry since November 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1285700302
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A.
Location Address4000 CENTRAL AVE NE, #308Columbia Heights, MN 55421-2968
Mailing Address2200 County Road C W, Suite 2100Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(763) 781-7475
Organization SubpartYes
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1285700302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4000 CENTRAL AVE NE, Columbia Heights, MN 55421
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Other Names 1

Doing Business AsPark Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. STEVEN CHARLES LONG M.D.
Internal Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5710
DOHA SALEM
Dietitian, Registered
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 782-8183
DR. ROMAN JOSEPH ZOWNIROWYCZ M.D.
Family Medicine
4000 CENTRAL AVE NE
MINNEAPOLIS, MN 55421
Anoka County (763) 572-5710
DR. ROBERT NERVIN HOVDA M.D.
Family Medicine
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 782-8183
COLUMBIA PARK MEDICAL GROUP, PA
Pharmacy (Clinic Pharmacy)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5710
FAIRVIEW CLINICS
Clinic/Center (Multi-Specialty)
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 572-5700
DR. CEPHAS MAWUENA AGBEH M.D.
Obstetrics & Gynecology
4000 CENTRAL AVE NE
COLUMBIA HEIGHTS, MN 55421
Anoka County (736) 572-5710
MR. DANIEL JOHN AULWES RPH
Pharmacist
4000 CENTRAL AVE NE, #100
COLUMBIA HEIGHTS, MN 55421
Anoka County (763) 236-2596

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 1285700302. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 4000 Central Ave NE #308, Columbia Heights, MN 55421. The listed phone number is (763) 781-7475.

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

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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.