Pdg, P.A. is a General Practice in Roseville, Minnesota. Pdg, P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdg, P.A. is 1104985456. The last update date is 2020-10-28.
Pdg, P.A.'s current location address is 2200 County Road C W, Roseville, Minnesota. You can contact this provider via phone number 6517462804 and fax number 6516366350. The mailing address for Pdg, P.A. is 2200 County Road C W, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdg, P.A. |
|---|---|
| Address | 2200 County Road C W, Roseville, Minnesota |
| Phone Number | 6517462804 |
| Fax Number | 6516366350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gulon John |
| Credentials | D.D.S. |
| Telephone Number | 6516330500 |
NPI Number Detail
| NPI Number | 1104985456 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 2200 County Road C W |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551132504 |
| Phone Number | 6517462804 |
| Fax Number | 6516366350 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Pdg, P.A. by the Centers for Medicare & Medicaid Services?
The Pdg, P.A. has been issued the NPI (National Provider Identifier) 1104985456 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Pdg, P.A. located?
The Pdg, P.A. is located at 2200 County Road C W, Roseville, MN 551132504.
What is Pdg, P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pdg, P.A. is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Pdg, P.A. receive its 1104985456 assignment?
The Pdg, P.A. was assigned its 1104985456 on 2006-12-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Pdg, P.A. most recently updated or revised?
The details related to Pdg, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2020-10-28.