PDG, P.A. (NPI# 1952730459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952730459 |
| Entity Type | Organization |
| Organization Name | PDG, P.A. |
| Other Organization Name | PARK DENTAL |
| Practice Address |
705 Rivard St Suite 1 Somerset WI 54025-7455 |
| Mailing Address |
2200 County Road C W Suite 2210 Roseville MN 55113-2550 |
| Practice Telephone | 7152473318 |
| Practice Fax Number | 7152472407 |
| 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 |
| Authorized Official Credential | DDS |
| 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 |
| 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 |
705 RIVARD ST SUITE 1 |
| City | SOMERSET |
| State | WI |
| Zip Code | 54025-7455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689757080 | St Croix Valley Dental Pllc | Dentist | 705 Rivard St, Somerset, WI 54025 | 2006-10-23 |
| 1487889176 | Heather Boorman | Social Worker | 705 Rivard St, Somerset, WI 54025-7455 | 2009-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987440 | School District of Somerset | Local Education Agency (LEA) | 645 Sunrise Dr, Somerset, WI 54025 | 2007-11-27 |
| 1164619011 | Rodney Alan Franks | Chiropractor | 2110 Cook Dr, Somerset, WI 54025 | 2007-09-25 |
| 1407985443 | Christopher Arlen Rud | Chiropractor | 705 Rivard Street, Suite 3, Somerset, WI 54025 | 2007-03-05 |
| 1710352653 | Kyle Ruhde | Specialist/Technologist | 645 Sunrise Dr, Somerset, WI 54025 | 2015-12-03 |
| 1215305412 | Group Health Plan Inc | Family Medicine | 700 Rivard St, Somerset, WI 54025 | 2015-09-04 |
| 1952731986 | Suzanne M. Carlson-shimon | Nurse Practitioner | 700 Rivard St, Somerset, WI 54025 | 2013-11-12 |
| 1841851888 | Stephanie Prichett | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2019-06-20 |
| 1174005045 | Holly Huso | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2018-09-06 |
| 1730683327 | Justin Scheierl | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2018-03-20 |
| 1922411909 | Mikayla Sanocki | Physical Therapist | 709 Rivard St, Somerset, WI 54025-1402 | 2014-06-06 |
| Find all providers in zip 54025 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336562537 | Shanti Dental PC | Clinic/Center | 481 South St, Somerset, MA 02726-5620 | 2014-01-24 |
| 1841361581 | Advanced Dental Arts, P.a. | Clinic/Center | 738 Easton Ave, Somerset, NJ 08873-1821 | 2006-11-13 |
| 1225509300 | Destination Dental Care, LLC | Clinic/Center | 7 Cedar Grove Ln Ste 33, Somerset, NJ 08873 | 2018-12-16 |
| 1356733869 | Nwando Udom Dds LLC | Clinic/Center | 84 Veronica Ave, Suite B1017, Somerset, NJ 08873-3529 | 2015-02-21 |
| 1609265438 | Vanderpool Dental Care, LLC | Clinic/Center | 863 County St, Somerset, MA 02726 | 2015-01-16 |
| 1639241854 | William A. Caudill, Dmd, Psc | Clinic/Center | 100 Hardin Ln, Suite A, Somerset, KY 42503-3812 | 2006-11-14 |
| 1528137197 | Somerset Family Dentistry, LLC | Clinic/Center | 11 Clyde Rd, Suites 101-102, Somerset, NJ 08873-5035 | 2006-11-07 |
| 1952318693 | The Art of Dentistry | Clinic/Center | 1303 Route 27, Somerset, NJ 08873 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1578173985 | Bright Dental and Braces LLC | Clinic/Center | 3046 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2020-08-01 |
| 1609493188 | Willow Dental Group LLC | Clinic/Center | 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151-4504 | 2020-06-30 |
| 1447875711 | Iola Family Dental, LLC | Clinic/Center | 100 Pine Crest Ln, Iola, WI 54945-8230 | 2020-06-12 |
| 1073135331 | Oasis Dental LLC | Clinic/Center | 1037 S Cesar E Chavez Dr, Milwaukee, WI 53204-2204 | 2020-05-09 |
| 1679116685 | Mdc Milwaukee, LLC | Clinic/Center | 4701 W National Ave, Milwaukee, WI 53214-3521 | 2019-10-22 |
| 1982263893 | Schmidt Dental Holdings LLC | Clinic/Center | 7430 W Forest Home Ave, Greenfield, WI 53220-3358 | 2019-06-13 |
| 1124580352 | Upper Lakes Dental, LLC | Clinic/Center | 908 E Main St Ste C, Winneconne, WI 54986-9672 | 2019-04-05 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1366907032 | Dr John M Kane Sc | Clinic/Center | 10317 N Greenwood Ln, Hayward, WI 54843-7167 | 2019-02-06 |
| 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.