Active NPI
PDG, P.a.
Doing business as Park Dental
- Dental Clinic/Center
- Hudson, WI
National Provider Identifier
1043649569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PDG, P.A.
- Doing business as
- Park Dental
- Practice address
- 1003 Pearson Dr
Hudson, WI 54016-8727 - Phone
- (715) 377-9966
- Fax
- (715) 377-9933
- NPI assigned
- Nov 5, 2013
- Last updated
- Oct 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Gulon
- Title
- President
- Phone
- (651) 633-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1003 Pearson Dr
Hudson, WI 54016-8727
Mailing address
2200 County Road C W
Suite 2210
Roseville, MN 55113-2550
Phone (651) 633-0500
Other names 1
- Park Dental
National Provider Directory
National Provider Directory- Tax ID family
- PDG PA
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Hudson, WI
- NPI 1427178011
-
- General Practice Dentistry
- Hudson, WI
- NPI 1073445003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1043649569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COUNTY ROAD C W",
"address_2": "SUITE 2210",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132550",
"telephone_number": "651-633-0500",
"fax_number": "651-636-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PEARSON DR",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168727",
"telephone_number": "715-377-9966",
"fax_number": "715-377-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDG, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-05",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "GULON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-633-0500",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hudson, WI
- Pamela J. Henkel D.B.a. Hudson Counseling Services
- Gerald Parupsky, O.D.
- Pathways Family Chiropractic, Inc. (Pathways Family Chirorpactic)
- David Paulson, D.D.S.
- Holly Marie Paulson, OTRL
- Peaceful Living , LLC
- Peak Vestibular Center LLC
- Lori Pedersen, P.T.
- Pediatric and Young Adult Medicine, PA
- Periodontal Center (The Periodontal Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.