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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Pdg, PA

Dental Clinic/Center in Lake Elmo, MN · enumerated 2015 · authorized official John Gulon, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396120473

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Registry record

Entity type Organization (Type 2)
Legal business name Pdg, PA
Other name <Unavail>
Parent organization Pdg, P.A.
Practice address 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN, 55042
Fax (651) 501-1471
Enumeration date Jul 30, 2015
Last updated in NPPES Oct 28, 2020

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name John Gulon
Title President

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.

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Frequently asked questions

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.
Where is Pdg, PA located?
The practice location on file with NPPES is in Lake Elmo, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-28.