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 1821545930

Pdg, PA is a Dental Clinic/Center in Shakopee, Minnesota. Registered with an NPI since 2016.

In the registry since
2016
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

4155 Dean Lakes Blvd
Shakopee, MN 55379
Phone: (952) 303-8320
Fax: (952) 303-8325
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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 number1821545930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gulon — President · (651) 633-0500
NPI enumeratedSeptember 7, 2016
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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