PARK DENTAL
NPI 1689732133
Dentist - General Practice in Prior Lake, MN

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

The NPI number for Pdg,p.A. is 1689732133. It was assigned to this organization in the NPPES registry on December 5, 2006.

Q: What is Pdg,p.A.'s specialty?

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

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 with the weekly NPPES data releases published by CMS.

Active since December 05, 2006

4670 PARK NICOLLET AVE SE, SUITE 100, PRIOR LAKE, MN 55372(952) 447-7606 Get Directions Write a Review

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

Record update history: Oct 28, 2020, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Park Dental NPPES

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

PARK DENTAL (NPI 1689732133) is a healthcare organization registered as a general practice in Prior Lake, Minnesota and active in the NPI registry since December 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1689732133

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePDG,P.A.

Location Address4670 PARK NICOLLET AVE SE, SUITE 100Prior Lake, MN 55372-3908

Mailing Address3030 Centre Pointe Dr, Suite 100Roseville, MN 55113-1112 · (651) 286-8100 · Fax (651) 633-6811

Phone(952) 447-7606

Organization SubpartNo

Authorized OfficialJohn GulonPresident · (952) 949-2536

Enumeration DateDecember 5, 2006

Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration

NPPES CertifiedOctober 28, 2020

✔ NPI 1689732133 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.

4670 PARK NICOLLET AVE SE, Prior Lake, MN 55372

Open in Google Maps ↗

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