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PARK DENTAL
NPI 1306912480
Dentist - General Practice in Bloomington, MN

Active since November 28, 2006
4200 W OLD SHAKOPEE RD, SUITE 100, BLOOMINGTON, MN 55437(952) 831-6126 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1306912480) is a healthcare organization registered as a general practice in Bloomington, Minnesota and active in the NPI registry since November 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1306912480
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG,P.A.
Location Address4200 W OLD SHAKOPEE RD, SUITE 100Bloomington, MN 55437-2976
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(952) 831-6126
Organization SubpartYesParent: Pdg, P.a.
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1306912480 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.

4200 W OLD SHAKOPEE RD, Bloomington, MN 55437
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

DR. KRIS J KALENDA DDS
Dentist
4200 W OLD SHAKOPEE RD, SUITE 221
BLOOMINGTON, MN 55437
Hennepin County (952) 881-0201
DR. DANA JOHN ISAACSON D.D.S.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Hennepin County (952) 881-8404
DR. EDMUND THEIS D.D.S.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Hennepin County (952) 881-8404
DR. TIMOTHY JOHN ISAACSON D.D.S.
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Hennepin County (952) 881-8404

Frequently Asked Questions

What is PDG,P.A.'s NPI number?

The NPI number assigned to this healthcare provider is 1306912480, enumerated as an "organization" on November 28, 2006.

Where is the provider located?

The provider is located at 4200 W OLD SHAKOPEE RD SUITE 100 BLOOMINGTON, MN 55437 and the phone number is (952) 831-6126.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.