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

Pdg, PA

Organization General Practice Dentistry · NPI 1104985456

Pdg, PA is a General Practice Dentistry in Roseville, Minnesota. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1835 Cty Rd C-West Ste 220
Roseville, MN 55113-1343
Phone: (651) 636-2123
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104985456
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPdg, PA
Authorized official John Gulon — President · (651) 633-0500
Other names Park Dental
NPI enumeratedDecember 6, 2006
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W, Suite 2210, Roseville, MN 55113-2504

Other providers in Roseville