PDG, P.A. (NPI# 1346679859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346679859 |
| Entity Type | Organization |
| Organization Name | PDG, P.A. |
| Other Organization Name | PARK DENTAL |
| Practice Address |
14741 Victor Hugo Blvd N Hugo MN 55038-4561 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2550 |
| Practice Telephone | 6514070999 |
| Practice Fax Number | 6514071004 |
| Mailing Telephone | 6516330500 |
| Mailing Fax Number | 6516366350 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. JOHN GULON (PRESIDENT) |
| Authorized Official Telephone | 6516330500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Park Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1316376668 | Pdg, P.a. | Clinic/Center | 6520 150th St W, Suite 300, Apple Valley, MN 55124-6554 | 2013-11-07 |
| 1639508153 | Pdg, P.a. | Clinic/Center | 501 Cherry Ln, Roberts, WI 54023-9731 | 2013-11-05 |
| 1043649569 | Pdg, P.a. | Clinic/Center | 1003 Pearson Dr, Hudson, WI 54016-8727 | 2013-11-05 |
| 1205265741 | Pdg, P.a. | Clinic/Center | 10150 City Walk Dr, Suite C, Woodbury, MN 55129-9257 | 2013-11-05 |
| 1538598057 | Pdg, P.a. | Clinic/Center | 15015 Cimarron Ave, Rosemount, MN 55068-2771 | 2013-11-05 |
| 1285993345 | Pdg, P.a. | Clinic/Center | 3161 Northdale Blvd Nw, Coon Rapids, MN 55433-1825 | 2012-05-10 |
| 1104985456 | Pdg, P.a. | Dentist | 1835 Cty Rd C-west, Suite 220, Roseville, MN 55113-1343 | 2006-12-06 |
| 1487712915 | Pdg, P.a. | Dentist | 9600 Upland Ln N, Suite 200, Maple Grove, MN 55369-4461 | 2006-12-05 |
| 1710045117 | Pdg, P.a. | Dentist | 5350 S Robert Trl, Inver Grove Heights, MN 55077-1404 | 2006-12-05 |
| Street Address |
14741 VICTOR HUGO BLVD N |
| City | HUGO |
| State | MN |
| Zip Code | 55038-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| Find all providers in zip 55038 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063947307 | Sorenson Dental | Clinic/Center | 14688 Everton Ave N, Suite 104, Hugo, MN 55038-6064 | 2017-04-24 |
| 1881091486 | Lakeview Family Dentistry LLC | Clinic/Center | 14475 Forest Blvd N, Hugo, MN 55038-7461 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710025 | Theresa M. Snell | Clinic/Center | 580 5th Ave Nw Ste 100, New Brighton, MN 55112-2836 | 2020-11-05 |
| 1376143248 | James M. Williams, D.d.s., P.a. | Clinic/Center | 620 Union St S, Mora, MN 55051-1818 | 2020-10-29 |
| 1235746058 | Asp Dental, PC | Clinic/Center | 17705 Hutchins Dr Ste 201, Minnetonka, MN 55345-4103 | 2020-09-25 |
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1518574532 | Stillwater Family Dental | Clinic/Center | 13481 60th St N Ste 100, Oak Park Heights, MN 55082-1089 | 2020-09-24 |
| 1093321531 | Barnett Dental Inc | Clinic/Center | 7962 Sunwood Dr Nw Ste 200, Ramsey, MN 55303-5172 | 2020-09-21 |
| 1356955868 | Todd A Brewer Dds Pllc | Clinic/Center | 603 Jefferson Ave Sw, Watertown, MN 55388 | 2020-09-02 |
| 1770195158 | Mark T. Sherman Dds Pa | Clinic/Center | 31011 Rasmussen Rd, Pequot Lakes, MN 56472-1227 | 2020-08-18 |
| 1689286015 | Lifelong Dental Care | Clinic/Center | 1525 Livingston Ave Ste B, West St Paul, MN 55118-3430 | 2020-08-18 |
| 1528678497 | Custom Smiles Dentistry, Pllc | Clinic/Center | 2258 Bunker Lake Blvd Nw, Andover, MN 55304-3900 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.