1. Home
  2. Directory
  3. Minnesota
  4. Shakopee
  5. Dentist
  6. NPI Profile

PARK DENTAL
NPI 1891853206
Dentist - General Practice in Shakopee, MN

Active since December 05, 2006
1515 SAINT FRANCIS AVE, SUITE 145, SHAKOPEE, MN 55379(952) 496-1538 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 1891853206) is a healthcare organization registered as a general practice in Shakopee, Minnesota and active in the NPI registry since December 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1891853206
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A.
Location Address1515 SAINT FRANCIS AVE, SUITE 145Shakopee, MN 55379-3387
Mailing Address2200 County Road C W, Suite 2100Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(952) 496-1538
Organization SubpartYes
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1891853206 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.
1515 SAINT FRANCIS AVE, Shakopee, MN 55379
Open in Google Maps ↗

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 20

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

DR. DAVID CONRAD CARLSON M.D.
Orthopaedic Surgery
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
HEIDI JO WHIPPLE OHLMANN
Physical Therapist
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 403-2001
MS. MARYPAT PARKER M.A. CCC-SLP-L
Speech-Language Pathologist
1515 SAINT FRANCIS AVE, SUITE 140
SHAKOPEE, MN 55379
Scott County (952) 403-2019
JODI LYNN WINTERS PAC
Physician Assistant
1515 SAINT FRANCIS AVE, SUITE 100
SHAKOPEE, MN 55379
Scott County (952) 403-3535
MRS. TONYA MARIE SEAMAN DPT
Physical Therapist
1515 SAINT FRANCIS AVE, SUITE 140
SHAKOPEE, MN 55379
Scott County (952) 403-2001
MRS. JENNIFER RUTH LARSON PA-C
Physician Assistant
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
ORTHOPEDIC SURGICAL CONSULTANTS, P.A.
Orthopaedic Surgery
1515 SAINT FRANCIS AVE, SUITE 150
SHAKOPEE, MN 55379
Scott County (952) 403-3399
DR. JACLYN PALKERT STEVENS DO
Obstetrics & Gynecology
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750

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 1891853206. 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 1515 Saint Francis Ave Suite 145, Shakopee, MN 55379. The listed phone number is (952) 496-1538.

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.