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PARK DENTAL
NPI 1639509334
Clinic/Center - Dental in Lake Elmo, MN

Active since November 15, 2013
11240 STILLWATER BLVD N, LAKE ELMO, MN 55042(651) 777-0210(651) 777-0320 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1639509334) is a healthcare organization registered as a dental in Lake Elmo, Minnesota and active in the NPI registry since November 2013. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1639509334
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, P.A.
Location Address11240 STILLWATER BLVD NLake Elmo, MN 55042-9321
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2550 · (651) 633-0500 · Fax (651) 636-6350
Phone(651) 777-0210
Fax(651) 777-0320
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 15, 2013
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1639509334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11240 STILLWATER BLVD N, Lake Elmo, MN 55042
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Other Names 1

Doing Business AsPark Dental

Other Providers at the Same Location NPPES 4

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

GRACE MEDICAL INC.
Durable Medical Equipment & Medical Supplies
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (866) 514-7223
LAKE ELMO PHARMACY
Pharmacist
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 773-0889
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Periodontics)
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 777-0210
RICH APOTHECARY INC
Pharmacy (Community/Retail Pharmacy)
11240 STILLWATER BLVD N
LAKE ELMO, MN 55042
Washington County (651) 773-0889

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 1639509334. It was assigned to this organization in the NPPES registry on November 15, 2013.

Where is Pdg, P.A. located?

Pdg, P.A. is located at 11240 Stillwater Blvd N, Lake Elmo, MN 55042. The listed phone number is (651) 777-0210.

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 with the weekly NPPES data releases published by CMS.