Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pdg, PA

Organization Dental Clinic/Center · NPI 1104201284

Pdg, PA is a Dental Clinic/Center in Roseville, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1835 County Road C W Ste 200
Roseville, MN 55113
Phone: (651) 209-7088
Fax: (651) 636-1118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1104201284
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPdg, PA
Authorized official John Gulon — President · (651) 633-0500
Other names Facial Pain Center; Facial Pain Center
NPI enumeratedJuly 30, 2015
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W, Suite 2210, Roseville, MN 55113-2550

Other providers in Roseville