PDG,P.A. (NPI# 1184782542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184782542 |
| Entity Type | Organization |
| Organization Name | PDG,P.A. |
| Other Organization Name | PARK DENTAL |
| Practice Address |
40 W Nicollet Blvd Burnsville MN 55337-4524 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2504 |
| Practice Telephone | 9528980990 |
| Practice Fax Number | 9528910230 |
| Mailing Telephone | 6516330500 |
| Mailing Fax Number | 6516366350 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. JOHN GULON (PRESIDENT) |
| Authorized Official Telephone | 6516330500 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | PDG, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Park Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932256344 | Pdg,p.a. | Dentist | 2200 County Road C W, Suite 2210, Roseville, MN 55113 | 2007-01-05 |
| 1417015009 | Pdg,p.a. | Dentist | 917 Grand Ave, Saint Paul, MN 55105-3043 | 2006-12-05 |
| 1730247180 | Pdg,p.a. | Dentist | 13059 Ridgedale Dr, Minnetonka, MN 55305-1807 | 2006-12-05 |
| 1518033695 | Pdg,p.a. | Dentist | 6437 Brooklyn Blvd, Brooklyn Center, MN 55429-2174 | 2006-11-28 |
| 1215003371 | Pdg,p.a. | Dentist | 12904 Central Ave Ne, Blaine, MN 55434-4147 | 2006-11-28 |
| 1083762041 | Pdg,p.a. | Clinic/Center | 6545 France Ave S, Suite 366, Edina, MN 55435 | 2007-01-08 |
| 1689732133 | Pdg,p.a. | Dentist | 4670 Park Nicollet Ave Se, Suite 100, Prior Lake, MN 55372-3908 | 2006-12-05 |
| 1083772669 | Pdg,p.a. | Dentist | 6545 France Ave S, Suite 390, Edina, MN 55435-2131 | 2006-12-05 |
| 1730247321 | Pdg,p.a. | Dentist | 8559 Edinbrook Pkwy, Brooklyn Park, MN 55443-3747 | 2006-12-05 |
| 1306912480 | Pdg,p.a. | Dentist | 4200 W Old Shakopee Rd, Suite 100, Bloomington, MN 55437-2976 | 2006-11-28 |
| Street Address |
40 W NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508932344 | Dental Specialists of Minnesota, Pllc | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-11-24 |
| 1245722297 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2018-06-05 |
| 1366992034 | Omar Ezzaldin Abusteit | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2016-10-06 |
| 1134595556 | Lindsey Erickson | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2015-08-19 |
| 1821473927 | Pdg, P.a. | Clinic/Center | 40 W Nicollet Blvd, Burnsville, MN 55337 | 2015-07-30 |
| 1659798866 | Xu Benjamin Han | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2014-03-25 |
| 1306976279 | Sarah L Carlson | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337 | 2007-03-07 |
| 1588725394 | Karen Ann Kohler | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-13 |
| 1891854832 | Amanda Buntzman Allen | Dentist | 40 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440639 | J Alan Ray, Dds-pa | Dentist | 131 East Main Court, Suite A, Burnsville, NC 28714-2871 | 2019-11-06 |
| 1447819842 | Bryant Greene | Dentist | 131 E Main St Ste A, Burnsville, NC 28714-2968 | 2019-06-10 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1891079851 | Burnsville Dental, P.a. | Dentist | 675 E Nicollet Blvd Ste 120, Burnsville, MN 55337-6748 | 2011-10-07 |
| 1396071197 | John F. Renfro, Dds, Pa | Dentist | 534 E Us Highway 19 E Byp, Burnsville, NC 28714-7202 | 2009-10-29 |
| 1063533560 | James Alan Ray | Dentist | 131 East Main Court, Suite A, Burnsville, NC 28714 | 2007-04-02 |
| 1871632331 | Ridge Point Dental Clinic, P.a. | Dentist | 14050 Nicollet Ave So, Suite 205, Burnsville, MN 55337-5710 | 2007-02-05 |
| 1962558692 | John Farrell Renfro | Dentist | 584 Spicewood Rd, Burnsville, NC 28714-6058 | 2007-01-26 |
| 1144389636 | Kristin Ann Nelson | Dentist | 50 W Nicollet Blvd, Burnsville, MN 55337-4524 | 2006-12-08 |
| 1477626646 | Dwight G Buller Dds Pa | Dentist | 101 W Burnsville Parkway, Suite 222, Burnsville, MN 55337-2572 | 2006-11-16 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.