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PARK DENTAL
NPI 1821164963
Dentist - General Practice in Coon Rapids, MN

Active since November 28, 2006
9145 SPRINGBROOK DR NW, SUITE 100, COON RAPIDS, MN 55433(763) 786-4632(763) 786-8673 Get Directions Write a Review

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

About Park Dental NPPES

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

PARK DENTAL (NPI 1821164963) is a healthcare organization registered as a general practice in Coon Rapids, Minnesota and active in the NPI registry since November 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1821164963
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG,P.A.
Location Address9145 SPRINGBROOK DR NW, SUITE 100Coon Rapids, MN 55433-5885
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(763) 786-4632
Fax(763) 786-8673
Organization SubpartYesParent: Pdg, P.a.
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1821164963 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.
9145 SPRINGBROOK DR NW, Coon Rapids, MN 55433
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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 9

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

NEVILLE BASMAN MD
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW, SUITE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
ELIZABETH BRINDISE VOUDRIS DO
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
CHRISTIANN MARIE PROPP NP
Nurse Practitioner (Family)
9145 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
DENTAL SPECIALISTS OF MINNESOTA, PLLC
Dentist (Oral and Maxillofacial Surgery)
9145 SPRINGBROOK DR NW, SUITE 100
COON RAPIDS, MN 55433
Anoka County (763) 201-6962
BETHANY LOU FIEBELKORN KENNEDY PH.D.
Psychologist
9145 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
MICHAEL THOMAS BADER MD
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW, SUITE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
EMILY HEITZ PA-C
Physician Assistant
9145 SPRINGBROOK DR NW, SUITE 200
COON RAPIDS, MN 55433
Anoka County (612) 871-1145
APRIL B GRUDELL M.D.
Internal Medicine (Gastroenterology)
9145 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (612) 871-1145

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 1821164963. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Park Dental.

Where is Pdg,p.A. located?

Pdg,p.A. is located at 9145 Springbrook Dr NW Suite 100, Coon Rapids, MN 55433. The listed phone number is (763) 786-4632.

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.