PDG, PA
NPI 1366826752
Clinic/Center - Dental in Albertville, MN

Active since July 15, 2015
11091 JASON AVE NE, SUITE 3, ALBERTVILLE, MN 55301(763) 497-2822(763) 497-2955 Get Directions Write a Review

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

About Pdg, Pa NPPES

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

PDG, PA (NPI 1366826752) is a healthcare organization registered as a dental in Albertville, Minnesota and active in the NPI registry since July 2015. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1366826752
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, PA
Location Address11091 JASON AVE NE, SUITE 3Albertville, MN 55301-4699
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500
Fax(763) 497-2955
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateJuly 15, 2015
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1366826752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11091 JASON AVE NE, Albertville, MN 55301

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Multi-Specialty)
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Clinic/Center (Urgent Care)
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Non-Pharmacy Dispensing Site
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Family Medicine
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Physician Assistant
11091 JASON AVE NE
ALBERTVILLE, MN 55301
Pediatrics
11091 JASON AVE NE
ALBERTVILLE, MN 55301

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, PA's NPI number?

The NPI number for Pdg, PA is 1366826752. It was assigned to this organization in the NPPES registry on July 15, 2015.

Where is Pdg, PA located?

Pdg, PA is located at 11091 Jason Ave NE Suite 3, Albertville, MN 55301. The listed phone number is (763) 497-2822.

What is Pdg, PA'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, PA 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.