OrganizationActive
Pdg, PA
NPI 1396120473 · Dental Clinic/Center · Lake Elmo, MN
Pdg, PA is a Dental Clinic/Center organization in Lake Elmo, MN (NPI 1396120473).
Provider details
- NPI number
- 1396120473
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pdg, P.A.
- Organization subpart
- Yes
- Authorized official
- John Gulon, President(651) 633-0500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
8650 Hudson Blvd N
Suite 105
Lake Elmo, MN 55042
Phone: (651) 379-0564
Fax: (651) 501-1471
Street-level locationGet directions
Mailing address
2200 County Road C W
Roseville, MN 55113-2550
Other names (DBA / former)
- Doing business as
- Facial Pain Center
- Doing business as
- Facial Pain Center
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Pdg, PA's NPI number?
- Pdg, PA's National Provider Identifier (NPI) is 1396120473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pdg, PA?
- Pdg, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pdg, PA located?
- Pdg, PA's practice location on file with NPPES is 8650 Hudson Blvd N, Lake Elmo, MN 55042.
- What is Pdg, PA's phone number?
- The practice phone number listed in the NPPES registry for Pdg, PA is (651) 379-0564.
- Who is the authorized official for Pdg, PA?
- The authorized official listed on Pdg, PA'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, PA's NPI active?
- Yes — Pdg, PA's NPI (1396120473) 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.