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 1184288979

Pdg, PA is a Dental Clinic/Center in Hermantown, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
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

4891 Miller Truck Hwy Ste 100
Hermantown, MN 55811
Phone: (218) 722-7770
Fax: (218) 740-3234
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 number1184288979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Hesse — Credentialing Specialists · (651) 746-2815
Other names Park Dental Hermantown
NPI enumeratedApril 26, 2019
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W Ste 2210, Roseville, MN 55113-2551

Other providers in Hermantown