OrganizationActive
Pdg,p.a.
NPI 1215003371 · General Practice Dentistry · Blaine, MN
Pdg,p.a. is a General Practice Dentistry organization in Blaine, MN (NPI 1215003371).
Provider details
- NPI number
- 1215003371
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Pdg, P.A.
- Organization subpart
- Yes
- Authorized official
- John Gulon, President(651) 633-0500
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12904 Central Ave Ne
Blaine, MN 55434-4147
Phone: (763) 755-1330
Street-level locationGet directions
Mailing address
2200 County Road C W
Roseville, MN 55113-2504
Other names (DBA / former)
- Doing business as
- Park Dental
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Pdg,p.a.'s NPI number?
- Pdg,p.a.'s National Provider Identifier (NPI) is 1215003371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdg,p.a.?
- Pdg,p.a. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Pdg,p.a. located?
- Pdg,p.a.'s practice location on file with NPPES is 12904 Central Ave Ne, Blaine, MN 55434-4147.
- What is Pdg,p.a.'s phone number?
- The practice phone number listed in the NPPES registry for Pdg,p.a. is (763) 755-1330.
- Who is the authorized official for Pdg,p.a.?
- The authorized official listed on Pdg,p.a.'s NPPES record is John Gulon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pdg,p.a.'s NPI active?
- Yes — Pdg,p.a.'s NPI (1215003371) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.