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

Pdg, PA

Organization Dental Clinic/Center · NPI 1205265535

Pdg, PA is a Dental Clinic/Center in Lakeville, Minnesota. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17436 Kenwood Trl
Lakeville, MN 55044-9219
Phone: (952) 241-5899
Fax: (952) 241-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1205265535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gulon — President · (651) 633-0500
Other names Park Dental
NPI enumeratedNovember 7, 2013
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W, Suite 2210, Roseville, MN 55113-2550

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