Park Dental

LBN: Pdg,P.A.
Park Dental is an health care organization with primary practice located at 12904 Central Ave Ne , Blaine MN 55434-4147. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pdg,P.A. can be contacted via phone (763) 755-1330, or through Gulon, John via phone (651) 633-0500.

Contact Information

Primary practice address
12904 Central Ave Ne Blaine MN 55434-4147
Phone: (763) 755-1330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gulon, John Doctor of Dental Surgery (DDS)
Phone: (651) 633-0500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1215003371
LBN Legal business name Pdg,P.A.
DBA Doing business as Park Dental
Authorized official Gulon, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2006
Last updated Oct 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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