PARK DENTAL PLYMOUTH LAKES
NPI 1366096513
Clinic/Center - Dental in Plymouth, MN

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

The NPI number for Pdg, P.A is 1366096513. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Park Dental Plymouth Lakes.

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 July 26, 2019

1525 COUNTY ROAD 101 N, PLYMOUTH, MN 55447(763) 475-2829 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Jul 29, 2019, Jul 26, 2019 (3 updates tracked since 2019).

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About Park Dental Plymouth Lakes NPPES

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

PARK DENTAL PLYMOUTH LAKES (NPI 1366096513) is a healthcare organization registered as a dental in Plymouth, Minnesota and active in the NPI registry since July 2019. The organization lists Shannon Hesse, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366096513

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, P.A

Location Address1525 COUNTY ROAD 101 NPlymouth, MN 55447-2707

Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 746-2815

Phone(763) 475-2829

Organization SubpartNo

Authorized OfficialShannon HesseCredentialing Specialist · (651) 746-2815

Enumeration DateJuly 26, 2019

Last NPPES UpdateOctober 28, 20203 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1366096513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1525 COUNTY ROAD 101 N, Plymouth, MN 55447

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Other Names 1

Doing Business AsPark Dental Plymouth Lakes

Other Providers at the Same Location NPPES

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

AIMEE JEAN ENDEAN D.D.S.

Dentist

1525 COUNTY ROAD 101 N
PLYMOUTH, MN 55447

Hennepin County (763) 515-7543

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 1366096513. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Park Dental Plymouth Lakes.

Where is Pdg, P.A located?

Pdg, P.A is located at 1525 County Road 101 N, Plymouth, MN 55447. The listed phone number is (763) 475-2829.

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.