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PARK DENTAL
NPI 1841366093
Dentist - General Practice in Apple Valley, MN

Active since November 28, 2006
14990 GLAZIER AVE, SUITE 100, APPLE VALLEY, MN 55124(952) 431-5114 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Park Dental NPPES

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

PARK DENTAL (NPI 1841366093) is a healthcare organization registered as a general practice in Apple Valley, Minnesota and active in the NPI registry since November 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1841366093
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A.
Location Address14990 GLAZIER AVE, SUITE 100Apple Valley, MN 55124-7818
Mailing Address3030 Centre Pointe Dr, Suite 100Roseville, MN 55113-1112 · (651) 286-8100 · Fax (651) 633-6811
Phone(952) 431-5114
Organization SubpartNo
Authorized OfficialJohn GulonPresident · (952) 949-2536
Enumeration DateNovember 28, 2006
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1841366093 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.
14990 GLAZIER AVE, Apple Valley, MN 55124
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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 7

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

DR. SARAH ANN WELCH DDS
Dentist (General Practice)
14990 GLAZIER AVE, SUITE 100
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
DR. THOMAS PHUC TRAN DDS
Dentist (General Practice)
14990 GLAZIER AVE, SUITE 100
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
DR. LUKE GUSTAVE SISKOFF DDS
Dentist (General Practice)
14990 GLAZIER AVE, #100
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
NORTHLAND DENTAL PARTNERS, PLLC
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
DR. MATTHEW KRATZ DDS
Dentist
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
DR. J. BRADFORD MORGAN DDS
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114
DEBORRAH JANE NORDBLOM D.D.S.
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dakota County (952) 431-5114

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 1841366093. 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 14990 Glazier Ave Suite 100, Apple Valley, MN 55124. The listed phone number is (952) 431-5114.

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.