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PARK DENTAL
NPI 1386710499
Dentist - General Practice in Champlin, MN

Active since November 28, 2006
12180 BUSINESS PARK BOULEVARD NORTH, CHAMPLIN, MN 55316(763) 421-5206 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1386710499) is a healthcare organization registered as a general practice in Champlin, Minnesota and active in the NPI registry since November 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1386710499
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A.
Location Address12180 BUSINESS PARK BOULEVARD NORTHChamplin, MN 55316-3123
Mailing Address2100 County Road C W, Suite 2210Roseville, MN 55113-2501 · (651) 633-0500 · Fax (651) 636-6350
Phone(763) 421-5206
Organization SubpartYes
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1386710499 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.
12180 BUSINESS PARK BOULEVARD NORTH, Champlin, MN 55316
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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 SINGLE SPECIALTY GROUP

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 1386710499. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Park Dental.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 12180 Business Park Boulevard North, Champlin, MN 55316. The listed phone number is (763) 421-5206.

What is Pdg, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Pdg, P.A. was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.