PARK DENTAL
NPI 1285993345
Clinic/Center - Dental in Coon Rapids, MN

NPI Status: Active since May 10, 2012

Contact Information

3161 NORTHDALE BLVD NW
COON RAPIDS, MN
ZIP 55433
Phone: (763) 210-7096

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  • Organization
  • Clinic/Center
  • Dental

About PARK DENTAL

This page provides the complete NPI Profile along with additional information for Park Dental, a provider established in Coon Rapids, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1285993345 assigned on May 2012. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Park Dental. The authorized official of this NPI record is Dr. John Gulon Dds (President)

NPI
1285993345
Provider Legal Name
PDG, P.A.
Other Organization Name
PARK DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3161 NORTHDALE BLVD NW COON RAPIDS, MN 55433
Location Phone
(763) 210-7096
Mailing Address
2200 COUNTY ROAD C W SUITE 2210 ROSEVILLE, MN 55113
Mailing Phone
(651) 633-0500
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2012
Last Update Date
10-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN GULON DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 633-0500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285993345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165189638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 8 + 9 + 6 + 3 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1285993345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285993345, enumerated as an "organization" on May 10, 2012.

The provider is located at 3161 NORTHDALE BLVD NW COON RAPIDS, MN 55433 and the phone number is (763) 210-7096.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.