PDG, P.A. (NPI# 1841366093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841366093 |
| Entity Type | Organization |
| Organization Name | PDG, P.A. |
| Other Organization Name | PARK DENTAL |
| Practice Address |
14990 Glazier Ave Suite 100 Apple Valley MN 55124-7818 |
| Mailing Address |
3030 Centre Pointe Dr Suite 100 Roseville MN 55113-1112 |
| Practice Telephone | 9524315114 |
| Mailing Telephone | 6512868100 |
| Mailing Fax Number | 6516336811 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | DR. JOHN GULON (PRESIDENT) |
| Authorized Official Telephone | 9529492536 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 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 |
| 1346679859 | Pdg, P.a. | Clinic/Center | 14741 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 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 |
| Street Address |
14990 GLAZIER AVE SUITE 100 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811425325 | J. Bradford Morgan | Dentist | 14990 Glazier Ave, Apple Valley, MN 55124-7818 | 2017-05-28 |
| 1659528891 | Northland Dental Partners, Pllc | Dentist | 14990 Glazier Ave, Apple Valley, MN 55124-7818 | 2008-08-19 |
| 1821155573 | Deborrah Jane Nordblom | Dentist | 14990 Glazier Ave, Apple Valley, MN 55124-7818 | 2007-01-02 |
| 1447319926 | Thomas Phuc Tran | Dentist | 14990 Glazier Ave, Suite 100, Apple Valley, MN 55124-7818 | 2006-12-08 |
| 1649339136 | Luke Gustave Siskoff | Dentist | 14990 Glazier Ave, #100, Apple Valley, MN 55124-7818 | 2006-12-08 |
| 1093874596 | Sarah Ann Welch | Dentist | 14990 Glazier Ave, Suite 100, Apple Valley, MN 55124-7818 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| 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 |
|---|---|---|---|---|
| 1457901696 | Eric Bryan Fu | Dentist | 18245 Outer Hwy 18 Ste 3, Apple Valley, CA 92307-2217 | 2019-09-19 |
| 1023504560 | Grant Joseph Schmura | Dentist | 15875 Emperor Ave Ste 100, Apple Valley, MN 55124-7860 | 2018-07-09 |
| 1124558143 | Dexter Dental Group | Dentist | 19195 Outer Hwy 18 Suite 201, Apple Valley, CA 92307-9230 | 2017-06-13 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1659752731 | Taehoon Park Dds Inc | Dentist | 20162 Us Highway 18 Ste L, Apple Valley, CA 92307-2935 | 2015-06-15 |
| 1972902518 | Kalra Dental Corporation | Dentist | 18805 Bear Valley Rd Ste 4, Apple Valley, CA 92308-2728 | 2014-08-20 |
| 1386883353 | Marifi Maghari Pipkin,dds,inc. | Dentist | 13675 Niabi Rd, Ste. 3, Apple Valley, CA 92308-6516 | 2009-02-13 |
| 1245482223 | Joy Marie Helou | Dentist | 16098 Kamana Rd, #101, Apple Valley, CA 92307 | 2008-10-21 |
| 1184882425 | Eric Joseph Sandoval | Dentist | 22749 Us Highway 18, Suite A-1, Apple Valley, CA 92307-4303 | 2008-05-22 |
| 1356508337 | Miriam Angelina Enriquez | Dentist | 12291 Apple Valley Rd, Apple Valley, CA 92308-1701 | 2008-05-19 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on PDG, P.A..
| 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.