PDGP.A. NPI 1417015009

NPI Information

PDG,P.A. is a general practice dentist in Saint Paul, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PDG,P.A. NPI is 1417015009. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Dental.

The provider's business location address is:

917 GRAND AVE
SAINT PAUL, MN
ZIP 55105-043
Phone: (651) 221-1902

The provider's authorized official is John Gulon .
The authorized official title is President and has the following contact phone number (651) 633-0500.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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