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PARK DENTAL
NPI 1760540280
Dentist - General Practice in Lake Elmo, MN

Active since December 05, 2006
8980 HUDSON BLVD N, LAKE ELMO, MN 55042(651) 735-9057 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Dental NPPES

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

PARK DENTAL (NPI 1760540280) is a healthcare organization registered as a general practice in Lake Elmo, Minnesota and active in the NPI registry since December 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1760540280
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A
Location Address8980 HUDSON BLVD NLake Elmo, MN 55042-9704
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(651) 735-9057
Organization SubpartYesParent: Pdg, P.a.
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1760540280 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.
8980 HUDSON BLVD N, Lake Elmo, MN 55042
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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 13

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

ANNA SWANSON LICSW
Social Worker (Clinical)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (763) 260-4721
DR. DAVID GORDON NAEGELI DDS
Dentist (General Practice)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 735-9057
DR. HEATHER J SCHUTE DDS
Dentist (General Practice)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 735-9057
DR. PANG FOUA YANG RHODES LMFT
Marriage & Family Therapist
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (612) 223-8898
CORINA MARIE SOWADA LPCC
Counselor (Professional)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (612) 223-8898
DR. ELENA LOZNE DDS
Dentist (General Practice)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 735-9057
TYLER TARMAN DDS
Dentist (General Practice)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 735-9057
ORTHODONTIC CARE GROUP
Dentist (Orthodontics and Dentofacial Orthopedics)
8980 HUDSON BLVD N
LAKE ELMO, MN 55042
Washington County (651) 501-1467

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 1760540280. 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 8980 Hudson Blvd N, Lake Elmo, MN 55042. The listed phone number is (651) 735-9057.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.