PDG, PA


Address: 906 Woodland Ave, Duluth, MN 55812-1113
Phone: 2186061040

PDG, PA (NPI# 1144780420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144780420
Entity Type Organization
Organization Name PDG, PA
Practice Address 906 Woodland Ave
Duluth
MN 55812-1113
Mailing Address 2200 County Road C W Ste 2210
Roseville
MN 55113-2551
Practice Telephone 2186061040
Practice Fax Number 2186061060
Mailing Telephone 6517462815
Enumeration Date 2019-03-22
Last Update Date 2020-10-28
Authorized Official Name SHANNON HESSE (CREDENTIALING SPECIALISTS)
Authorized Official Telephone 6517462815
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Park Dental BlueStone Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649838343 Pdg, Pa Clinic/Center 7774 Hargis Pkwy Ste 106, Woodbury, MN 55129-2305 2019-05-29
1629589544 Pdg, Pa Clinic/Center 16991 198th Ave Nw, Big Lake, MN 55309 2017-10-18
1861931545 Pdg, Pa Clinic/Center 605 Hillcrest Ave Ste 210, Owatonna, MN 55060-3680 2017-02-15
1285170464 Pdg, Pa Clinic/Center 18230 Zane St Nw, Elk River, MN 55330-4501 2017-01-12
1518403831 Pdg, Pa Clinic/Center 324 W Superior St Ste 1130, Duluth, MN 55802-1714 2017-01-10
1396199832 Pdg, Pa Clinic/Center 3780 Marketplace Dr Nw Ste 112, Rochester, MN 55901-3225 2016-04-21
1598128647 Pdg, Pa Clinic/Center 14170 Highway 13 S, Savage, MN 55378-2587 2016-04-05
1689122442 Pdg, Pa Clinic/Center 7501 80th St S, #214, Cottage Grove, MN 55016-3020 2016-09-21
1346798600 Pdg, Pa Clinic/Center 901 Marquette Ave Ste 230, Minneapolis, MN 55402-3260 2016-09-15
1821545930 Pdg, Pa Clinic/Center 4155 Dean Lakes Blvd, Shakopee, MN 55379 2016-09-07

Office Location

Street Address 906 WOODLAND AVE
City DULUTH
State MN
Zip Code 55812-1113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720165905 Whitney Christine Hustad Davidson Dentist 906 Woodland Ave, Duluth, MN 55812-1113 2006-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942743950 Thomas Anthony Olson Specialist/Technologist 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 2016-11-22
1922457183 Zen Eye Care Pllc Optometrist 2106 London Road, Duluth, MN 55812 2016-06-08
1295134088 Charla Buxbaum Specialist/Technologist 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 2014-08-18
1346473998 Patricia A Trachte Nurse Practitioner 107 Ksc, Umd Quick Care, Duluth, MN 55812 2009-08-31
1003088543 Arrowhead House Inc Community Based Residential Treatment Facility, Mental Illness 16 South 18th Avenue East, Duluth, MN 55812 2008-03-25
1073689295 Nicolle Marie Nicklas Nurse Anesthetist, Certified Registered 219 Garden St., Duluth, MN 55812 2006-11-28
1346328762 Timothy Patrick Stratton Pharmacist 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 2006-11-02
1316960701 Questar Duluth, Inc Specialist 1527 London Road, Duluth, MN 55812 2006-07-26
1063401297 Clinton T Moen Specialist 2711 E 5th St, Duluth, MN 55812 2005-10-20
1124016563 Christine Aas-larson Nurse Practitioner 1502 London Road, Suite 102, Duluth, MN 55812 2005-10-10
Find all providers in zip 55812

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518403831 Pdg, Pa Clinic/Center 324 W Superior St Ste 1130, Duluth, MN 55802-1714 2017-01-10
1417210576 Gregory H. Kaake, D.d.s. P.a. Clinic/Center 1832 Maple Grove Rd, Duluth, MN 55811-1811 2012-06-22
1780839803 Mark L Shefrin Dmd PC Clinic/Center 3540 Duluth Park Ln Ste 270, 270, Duluth, GA 30096-8511 2008-11-18
1437320512 Natalie Peterson Dds Family Dentistry LLC Clinic/Center 110 W 10th St, Duluth, MN 55806-2536 2008-03-17
1831387661 Crawford Orthodontic Care Clinic/Center 3950 Pleasant Hill Rd, Suite 6, Duluth, GA 30096 2007-10-05
1740400985 Lake Superior College Dental Clinic Clinic/Center 2101 Trinity Road, Duluth, MN 55811-3349 2007-04-30
1609425032 M Dental Pllc Clinic/Center 4707 E Superior St, Duluth, MN 55804-2339 2019-09-09
1285110379 Matthew D Jugovich Dds Pa Clinic/Center 5651 Miller Trunk Hwy, Duluth, MN 55811-1229 2018-07-12
1619424827 Duluth Dental and Dentures LLC Clinic/Center 1625 Pleasant Hill Rd, Suite #140, Duluth, GA 30096-2326 2016-09-06
1972952265 Kyle Hammer Dds Pllc Clinic/Center 1432 London Rd, Duluth, MN 55805-2425 2016-06-07
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 55812

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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