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 1487712915

Pdg, PA is a General Practice Dentistry in Maple Grove, 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.

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Practice location Address checks out

9600 Upland Ln N Ste 200
Maple Grove, MN 55369-4461
Phone: (763) 416-0037
Fax: (763) 420-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1487712915
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPdg, PA
Authorized official John Gulon — President · (651) 633-0500
Other names Park Dental
NPI enumeratedDecember 5, 2006
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2200 County Road C W, Suite 2210, Roseville, MN 55113-2504

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