Pdg, P.A.
Pdg, P.A. is a healthcare organization registered as General Practice Dentistry in Roseville, MN, holding Type 2 (organization) NPI 1104985456 since 2006. The authorized official on file is John Gulon, President.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1104985456 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pdg, P.A. |
| Other name | <Unavail> |
| Parent organization | Pdg, P.A. |
| Practice address | 1835 CTY RD C-WEST, SUITE 220, Roseville, MN, 55113 |
| Phone | 6516362123 |
| Enumeration date | 2006-12-06 |
| Last updated in NPPES | 2020-10-28 |
Authorized official
| Name | John Gulon |
|---|---|
| Title | President |
| Phone | 6516330500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Pdg, P.A. NPI: 1104985456 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1835 CTY RD C-WEST, SUITE 220, Roseville, MN, 55113
Verify this record
Cross-check NPI 1104985456 against the authoritative CMS record: view Pdg, P.A. 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
What is the NPI number for Pdg, P.A.?
Who is the authorized official for Pdg, P.A.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-28.