PDG, PA (NPI# 1518403831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518403831 |
Entity Type | Organization |
Organization Name | PDG, PA |
Practice Address |
324 W Superior St Ste 1130 Duluth MN 55802-1714 |
Mailing Address |
2200 County Road C W 2210 Roseville MN 55113-2550 |
Practice Telephone | 2184097660 |
Mailing Telephone | 6517462815 |
Mailing Fax Number | 6512096312 |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-10-28 |
Authorized Official Name | JOHN GULON (PRESIDENT) |
Authorized Official Telephone | 6516330500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
MN | Ambulatory Health Care Facilities |
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 |
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 |
1144780420 | Pdg, Pa | Clinic/Center | 906 Woodland Ave, Duluth, MN 55812-1113 | 2019-03-22 |
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 |
Street Address |
324 W SUPERIOR ST STE 1130 |
City | DULUTH |
State | MN |
Zip Code | 55802-1714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
Find all providers in zip 55802 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1144780420 | Pdg, Pa | Clinic/Center | 906 Woodland Ave, Duluth, MN 55812-1113 | 2019-03-22 |
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 |
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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.