OrganizationActive
Pdg, P.A
NPI 1366096513 · Dental Clinic/Center · Plymouth, MN
Provider details
- NPI number
- 1366096513
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Hesse, Credentialing Specialist(651) 746-2815
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1525 County Road 101 N
Plymouth, MN 55447-2707
Phone: (763) 475-2829
Street-level locationGet directions
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Other names (DBA / former)
- Doing business as
- Park Dental Plymouth Lakes
Registry dates
- Enumerated
- 2019-07-26
- Last updated
- 2020-10-28
- Certified
- 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.