Organization · Type 2 NPI

Pdg, P.a.

Dental Clinic/Center · Burnsville, MN

NPI number 1821473927 Active

Practice location

40 W Nicollet Blvd
Burnsville, MN 55337

Call (952) 891-0222 Map

Fax (952) 891-0228

Mailing address

2200 County Road C W, Suite 2210
Roseville, MN 55113-2550

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

10 other providers at this address

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NPI record

NPI: 1821473927
Entity type: Organization (Type 2)
Issued: Jul 30, 2015
Last updated: Oct 28, 2020
Status: Active
Subpart: Yes of Pdg, P.a.

Other names

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Facial Pain Center · doing business as
Facial Pain Center · doing business as

Authorized official

Dr. John Gulon, DDS
President
(651) 633-0500

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About NPI 1821473927

Pdg, P.a.'s National Provider Identifier is 1821473927, issued on Jul 30, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Burnsville, MN. The record was last updated on Oct 28, 2020.