OrganizationActive
Pdg, PA
NPI 1629589544 · Dental Clinic/Center · Big Lake, MN
Pdg, PA is a Dental Clinic/Center organization in Big Lake, MN (NPI 1629589544).
Provider details
- NPI number
- 1629589544
- 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(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
16991 198th Ave Nw
Big Lake, MN 55309
Phone: (763) 263-6350
Fax: (763) 263-0136
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
- Doing business as
- Park Dental
Registry dates
- Enumerated
- 2017-10-18
- 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 1629589544, 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 16991 198th Ave Nw, Big Lake, MN 55309.
- What is Pdg, PA's phone number?
- The practice phone number listed in the NPPES registry for Pdg, PA is (763) 263-6350.
- Who is the authorized official for Pdg, PA?
- The authorized official listed on Pdg, PA's NPPES record is Shannon Hesse, Credentialing Specialist. 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 (1629589544) 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.