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PARK DENTAL
NPI 1730247180
Dentist - General Practice in Minnetonka, MN

Active since December 05, 2006
13059 RIDGEDALE DR, MINNETONKA, MN 55305(952) 545-8603 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, Mar 2, 2016 (2 updates tracked since 2016).

About Park Dental NPPES

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

PARK DENTAL (NPI 1730247180) is a healthcare organization registered as a general practice in Minnetonka, Minnesota and active in the NPI registry since December 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1730247180
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG,P.A.
Location Address13059 RIDGEDALE DRMinnetonka, MN 55305-1807
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(952) 545-8603
Organization SubpartYesParent: Pdg, P.a.
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1730247180 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.

13059 RIDGEDALE DR, Minnetonka, MN 55305
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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

Other Providers at the Same Location NPPES 3

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

DR. ANN TIEU HUA D.M.D.
Dentist (General Practice)
13059 RIDGEDALE DR
MINNETONKA, MN 55305
Hennepin County (952) 545-8603
MEGAN STREHLKE DDS
Dentist
13059 RIDGEDALE DR
MINNETONKA, MN 55305
Hennepin County (952) 545-8603
DR. HILARY MEGAN MAYNE DDS
Dentist
13059 RIDGEDALE DR
MINNETONKA, MN 55305
Hennepin County (952) 545-8603

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 1730247180. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Park Dental.

Where is Pdg,p.A. located?

Pdg,p.A. is located at 13059 Ridgedale Dr, Minnetonka, MN 55305. The listed phone number is (952) 545-8603.

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.