FACIAL PAIN CENTER
NPI 1396120473
Clinic/Center - Dental in Lake Elmo, MN

Q: What is Pdg, PA's NPI number?

The NPI number for Pdg, PA is 1396120473. It was assigned to this organization in the NPPES registry on July 30, 2015. The provider is doing business as Facial Pain Center.

Q: What is Pdg, PA'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, PA was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2015

8650 HUDSON BLVD N, SUITE 105, LAKE ELMO, MN 55042(651) 379-0564(651) 501-1471 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Jun 12, 2018 (2 updates tracked since 2018).

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About Facial Pain Center NPPES

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

FACIAL PAIN CENTER (NPI 1396120473) is a healthcare organization registered as a dental in Lake Elmo, Minnesota and active in the NPI registry since July 2015. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1396120473

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePDG, PA

Location Address8650 HUDSON BLVD N, SUITE 105Lake Elmo, MN 55042

Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350

Phone(651) 379-0564

Fax(651) 501-1471

Organization SubpartYesParent: Pdg, P.a.

Authorized OfficialJohn GulonPresident · (651) 633-0500

Enumeration DateJuly 30, 2015

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1396120473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

8650 HUDSON BLVD N, Lake Elmo, MN 55042

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Other Names 1

Doing Business AsFacial Pain Center

Other Providers at the Same Location NPPES 20

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

ERIC JOHN ENGLISH MD

Obstetrics & Gynecology

8650 HUDSON BLVD N, #325
LAKE ELMO, MN 55042

Washington County (651) 265-6745

ALAN S LAW DDS, PHD

Dentist (Endodontics)

8650 HUDSON BLVD N, 105
LAKE ELMO, MN 55042

Washington County (651) 636-1072

WENDY L WORNER CRNA

Nurse Anesthetist, Certified Registered