Pdg, P.A. is a General Practice in Champlin, Minnesota. Pdg, P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdg, P.A. is 1386710499. The last update date is 2020-10-28.
Pdg, P.A.'s current location address is 12180 Business Park Boulevard North, Champlin, Minnesota. You can contact this provider via phone number 7634215206. The mailing address for Pdg, P.A. is 12180 Business Park Boulevard North, Champlin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdg, P.A. |
|---|---|
| Address | 12180 Business Park Boulevard North, Champlin, Minnesota |
| Phone Number | 7634215206 |
| Fax Number | |
| 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 | 1386710499 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 12180 Business Park Boulevard North |
|---|---|
| City | Champlin |
| State | Minnesota (MN) |
| Post Code | 553163123 |
| Phone Number | 7634215206 |
| Fax Number |
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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Post Comment/ Review Below
What is the unique identifier code issued to Pdg, P.A. by the Centers for Medicare & Medicaid Services (CMS)?
The Pdg, P.A. has been assigned the NPI (National Provider Identifier) 1386710499. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Pdg, P.A. is physically located?
The Pdg, P.A. is situated at the following address: 12180 Business Park Boulevard North, Champlin, MN 553163123.
What is Pdg, P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pdg, P.A. is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Pdg, P.A. receive its 1386710499?
The Pdg, P.A. was issued its 1386710499 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
As of what date were the Pdg, P.A.'s details last updated?
The information pertaining to the Pdg, P.A., including its address, specialty, and other details, was most recently updated on 2020-10-28.