PARK DENTAL
NPI 1376984013
Clinic/Center - Dental in Plymouth, MN

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

The NPI number for Pdg, P.A. is 1376984013. It was assigned to this organization in the NPPES registry on July 10, 2013. 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 July 10, 2013

4410 NATHAN LN N, PLYMOUTH, MN 55442(763) 233-3350(763) 233-3352 Get Directions Write a Review

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

On this page

About Park Dental NPPES

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

PARK DENTAL (NPI 1376984013) is a healthcare organization registered as a dental in Plymouth, Minnesota and active in the NPI registry since July 2013. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1376984013

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, P.A.

Location Address4410 NATHAN LN NPlymouth, MN 55442-2586

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

Phone(763) 233-3350

Fax(763) 233-3352

Organization SubpartNo

Authorized OfficialJohn GulonPresident · (651) 633-0500

Enumeration DateJuly 10, 2013

Last NPPES UpdateOctober 28, 2020

NPPES CertifiedOctober 28, 2020

✔ NPI 1376984013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4410 NATHAN LN N, Plymouth, MN 55442

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Other Names 1

Doing Business AsPark Dental

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 1376984013. It was assigned to this organization in the NPPES registry on July 10, 2013. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 4410 Nathan Ln N, Plymouth, MN 55442. The listed phone number is (763) 233-3350.

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.