# PDG, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PDG, P.A.
- **Other names:** Park Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588730527
- **Legal business name:** PDG, P.A.
- **Authorized official:** DR. JOHN GULON D.D.S. (PRESIDENT)
- **Authorized official phone:** (651) 633-0500

## Contact information

- **Practice address:** 18315 CASCADE DR, SUITE 120, EDEN PRAIRIE, MN 55347-1180
- **Practice address phone:** (952) 949-2536
- **Mailing address:** 2200 COUNTY ROAD C W, SUITE 2210, ROSEVILLE, MN 55113-2504
- **Mailing address phone:** (651) 633-0500
- **Mailing address fax:** (651) 636-6350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 10/28/2020