OrganizationActive
Pdg, P.A.
NPI 1487712915 · General Practice Dentistry · Maple Grove, MN
Provider details
- NPI number
- 1487712915
- 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
9600 Upland Ln N
Suite 200
Maple Grove, MN 55369-4461
Phone: (763) 416-0037
Fax: (763) 420-5428
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
- 2006-12-05
- 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.