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 1366096513

Pdg, PA is a Dental Clinic/Center in Plymouth, 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.

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Practice location Address checks out

1525 County Road 101 N
Plymouth, MN 55447-2707
Phone: (763) 475-2829
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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 number1366096513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Hesse — Credentialing Specialist · (651) 746-2815
Other names Park Dental Plymouth Lakes
NPI enumeratedJuly 26, 2019
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W Ste 2210, Roseville, MN 55113-2551

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