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

Q: What is Pdg, P.A.'s NPI number?

The NPI number for Pdg, P.A. is 1285993345. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Park Dental.

Q: What is Pdg, P.A.'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, 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.

Active since May 10, 2012

3161 NORTHDALE BLVD NW, COON RAPIDS, MN 55433(763) 210-7096 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Park Dental NPPES

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

PARK DENTAL (NPI 1285993345) is a healthcare organization registered as a dental in Coon Rapids, Minnesota and active in the NPI registry since May 2012. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1285993345

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, P.A.

Location Address3161 NORTHDALE BLVD NWCoon Rapids, MN 55433-1825

Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6894

Phone(763) 210-7096

Organization SubpartNo

Authorized OfficialJohn GulonPresident · (651) 633-0500

Enumeration DateMay 10, 2012

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1285993345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

3161 NORTHDALE BLVD NW, Coon Rapids, MN 55433

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Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES

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

DR. BRETT ARTHUR KNUTSON DDS

Dentist (General Practice)

3161 NORTHDALE BLVD NW
COON RAPIDS, MN 55433

Anoka County (763) 210-7096

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 1285993345. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 3161 Northdale Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 210-7096.

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.