PARK DENTAL
NPI 1346679859
Clinic/Center - Dental in Hugo, MN

Active since November 05, 2013
14741 VICTOR HUGO BLVD N, HUGO, MN 55038(651) 407-0999(651) 407-1004 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Oct 20, 2016 (2 updates tracked since 2016).

  • 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 Hugo, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1346679859 assigned on November 2013. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Park Dental. The authorized official of this NPI record is Dr. John Gulon (President)

NPI
1346679859 Verify this NPI
Provider Legal Name
PDG, P.A.
Other Organization Name
PARK DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14741 VICTOR HUGO BLVD N HUGO, MN 55038
Location Phone
(651) 407-0999
Location Fax
(651) 407-1004
Mailing Address
2200 COUNTY ROAD C W SUITE 2210 ROSEVILLE, MN 55113
Mailing Phone
(651) 633-0500
Mailing Fax
(651) 636-6350
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-05-2013
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

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

Reviews for PARK DENTAL

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
14741 VICTOR HUGO BLVD N
HUGO, MN 55038
Dentist
14741 VICTOR HUGO BLVD N
HUGO, MN 55038

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346679859, enumerated as an "organization" on November 05, 2013.

The provider is located at 14741 VICTOR HUGO BLVD N HUGO, MN 55038 and the phone number is (651) 407-0999.

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