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PARK DENTAL
NPI 1982762423
Dentist - General Practice in Maplewood, MN

Active since December 05, 2006
1600 SAINT JOHNS BLVD, SUITE 100, MAPLEWOOD, MN 55109(651) 770-7585 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 1982762423) is a healthcare organization registered as a general practice in Maplewood, Minnesota and active in the NPI registry since December 2006. The organization lists John Gulon, President, as its authorized official.

NPPES Registry Identity

NPI1982762423
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePDG, P.A.
Location Address1600 SAINT JOHNS BLVD, SUITE 100Maplewood, MN 55109-1183
Mailing Address2200 County Road C W, Suite 2210Roseville, MN 55113-2504 · (651) 633-0500 · Fax (651) 636-6350
Phone(651) 770-7585
Organization SubpartYes
Authorized OfficialJohn GulonPresident · (651) 633-0500
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1982762423 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.
1600 SAINT JOHNS BLVD, Maplewood, MN 55109
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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 18

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

JACQUELINE LEA BRYANT RN
Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 779-9449
DR. JANA LYNNE VOSS DDS
Dentist (General Practice)
1600 SAINT JOHNS BLVD, SUITE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 770-7585
SHARILL KAY ODENWALD RN
Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
SAINT PAUL, MN 55109
Ramsey County (651) 747-8619
DR. WILLIAM HENRY VOLD DDS
Dentist (General Practice)
1600 SAINT JOHNS BLVD, SUITE 100
MAPLEWOOD, MN 55109
Ramsey County (651) 770-7585
PATRICIA ANN NORD RN
Registered Nurse
1600 SAINT JOHNS BLVD, SUITE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 747-8649
CARRIE L. ARDOLF RN
Registered Nurse
1600 SAINT JOHNS BLVD, #200
MAPLEWOOD, MN 55109
Ramsey County (651) 779-9449
VIOLA MARIA TRACY M.D.
Internal Medicine (Pulmonary Disease)
1600 SAINT JOHNS BLVD, STE 200
MAPLEWOOD, MN 55109
Ramsey County (651) 471-1166
BARBARA A. SLOTSVE RN,MS,ACNP
Nurse Practitioner (Acute Care)
1600 SAINT JOHNS BLVD, SUITE 201
MAPLEWOOD, MN 55109
Ramsey County (651) 779-9322

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 1982762423. 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 1600 Saint Johns Blvd Suite 100, Maplewood, MN 55109. The listed phone number is (651) 770-7585.

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.