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PDG, PA
NPI 1821545930
Clinic/Center - Dental in Shakopee, MN

Active since September 07, 2016
4155 DEAN LAKES BLVD, SHAKOPEE, MN 55379(952) 303-8320(952) 303-8325 Get Directions Write a Review

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

About Pdg, Pa NPPES

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

PDG, PA (NPI 1821545930) is a healthcare organization registered as a dental in Shakopee, Minnesota and active in the NPI registry since September 2016. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1821545930
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePDG, PA
Location Address4155 DEAN LAKES BLVDShakopee, MN 55379
Mailing Address2200 County Road C W Ste 2210Roseville, MN 55113-2551 · (651) 636-6350 · Fax (651) 209-6312
Phone(952) 303-8320
Fax(952) 303-8325
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateSeptember 7, 2016
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1821545930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4155 DEAN LAKES BLVD, Shakopee, MN 55379
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Other Providers at the Same Location NPPES 2

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

KYLE ANN LOHMAN
Dentist (General Practice)
4155 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (952) 303-8320
JASON LANE DDS
Dentist
4155 DEAN LAKES BLVD
SHAKOPEE, MN 55379
Scott County (952) 303-8320

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, PA's NPI number?

The NPI number for Pdg, PA is 1821545930. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Pdg, PA located?

Pdg, PA is located at 4155 Dean Lakes Blvd, Shakopee, MN 55379. The listed phone number is (952) 303-8320.

What is Pdg, PA'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, PA was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.