Abigail Lynn Halluska, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D15309 Issued in MN

Practice address

15535 34TH Ave N Ste 250
Plymouth, MN 55447-2171

Phone

(763) 233-3310

NPI assigned

Jun 6, 2025

Last updated

Jun 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PDG, PA

  dba Park Dental

  • Dental Clinic/Center
  • Plymouth, MN
  • NPI 1548687296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1720972441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 ANDREA CT",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288185",
            "telephone_number": "763-244-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15535 34TH AVE N STE 250",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554472171",
            "telephone_number": "763-233-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLUSKA",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Spies Haggerty, MD
• Jeffrey Ryan Halbleib, PT, DPT
• Caitlin Patricia Hall
• Katherine Mary Hall
• Melanie A Hall, CRNA
• Wes Halverson
• Pamela K Hamilton, M.S., CCC
• Sara Hamilton, PHARMD
• Benjamin Hankey, MHP
• Hannon & Sandler P.a.

• General Practice Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.