Pdg, PA
Pdg, PA is a Dental Clinic/Center in Lake Elmo, 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.
Practice location Address checks out
8650 Hudson Blvd N Ste 105Lake Elmo, MN 55042
Phone: (651) 379-0564
Fax: (651) 501-1471
Show map & directions
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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 number | 1396120473 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pdg, PA |
| Authorized official | John Gulon — President · (651) 633-0500 |
| Other names | Facial Pain Center; Facial Pain Center |
| NPI enumerated | July 30, 2015 |
| Last updated in NPPES | October 28, 2020 |
| Certification date | October 28, 2020 |
| Mailing address | 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 |
Other providers in Lake Elmo
-
Group Health, Inc
8515 Eagle Point Blvd Ste 200, Lake Elmo, MN 55042-8624 · (651) 523-9951
-
Pdg, PA
11240 Stillwater Blvd N, Lake Elmo, MN 55042-9321 · (651) 777-0210