Pdg, PA
Pdg, PA is a healthcare organization registered as Dental Clinic/Center in Shakopee, MN, holding Type 2 (organization) NPI 1821545930 since 2016. The authorized official on file is John Gulon, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821545930 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pdg, PA |
| Practice address | 4155 DEAN LAKES BLVD, Shakopee, MN, 55379 |
| Phone | 9523038320 |
| Fax | 9523038325 |
| Enumeration date | 2016-09-07 |
| 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: 1821545930 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 4155 DEAN LAKES BLVD, Shakopee, MN, 55379
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861802910 | Jason Lane | Individual | Dentist | Shakopee, MN |
| 1134737802 | Kyle Lohman | Individual | General Practice Dentistry | Shakopee, MN |
Verify this record
Cross-check NPI 1821545930 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
What is the NPI number for Pdg, PA?
Who is the authorized official for Pdg, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-28.