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PDG P.A NPI 1841831799


NPI Information

NPI: 1841831799
Provider Name: PDG, P.A
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
14135 CEDAR AVE STE 500
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 891-4611
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PDG, P.A is a dental clinic center in Apple Valley, MN. PDG, P.A NPI is 1841831799. The provider is registered as an organization entity type.

The provider's business location address is:

14135 CEDAR AVE STE 500
APPLE VALLEY, MN
ZIP 55124-527
Phone: (952) 891-4611
Fax: (952) 891-4370

The provider's authorized official is Shannon Hesse .
The authorized official title is Credentialing Specialist and has the following contact phone number (651) 746-2815.

The enumeration date for this NPI number is 10/2/2019 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.