Pdg, PA

Pdg, PA is a healthcare organization registered as Dental Clinic/Center in Roseville, MN, holding Type 2 (organization) NPI 1104201284 since 2015. The authorized official on file is John Gulon, President.

✓ Active NPI ✓ Valid NPI checksum Organization subpart

NPI	1104201284
Entity type	Organization (Type 2)
Legal business name	Pdg, PA
Other name	<Unavail>
Parent organization	Pdg, P.A.
Practice address	1835 COUNTY ROAD C W, SUITE 200, Roseville, MN, 55113
Phone	6512097088
Fax	6516361118
Enumeration date	2015-07-30
Last updated in NPPES	2020-10-28

Authorized official

Name	John Gulon
Title	President
Phone	6516330500

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Pdg, PA
NPI: 1104201284
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 1835 COUNTY ROAD C W, SUITE 200, Roseville, MN, 55113

Providers at this address

NPI	Name	Type	Specialty	Location
1336116052	David Chang	Individual	Neurological Surgery Physician	Roseville, MN
1457463184	Mathew Royal	Individual	Endodontics	Roseville, MN
1023119427	Ann Napp	Individual	Audiologist-Hearing Aid Fitter	Roseville, MN
1831290212	Audiology Associates Hearingcare, Ltd.	Organization	Audiologist-Hearing Aid Fitter	Roseville, MN
1366533861	Matthew Kaufenberg	Individual	Physical Therapist	Roseville, MN
1083707046	Frederick Hjelm	Individual	Physical Therapist	Roseville, MN
1003975061	Kirk Baumgardner	Individual	Endodontics	Roseville, MN
1093874547	Pamela Holm	Individual	General Practice Dentistry	Roseville, MN

Verify this record

Cross-check NPI 1104201284 against the authoritative CMS record: view Pdg, PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Pdg, PA located?

The practice location on file with NPPES is in Roseville, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-28. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-28.