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 1417015009. 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 | 1417015009 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| 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 identifier code issued to Pdg,P.A. by the Centers for Medicare & Medicaid Services?
The Pdg,P.A. has been assigned the NPI (National Provider Identifier) 1417015009. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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 area of expertise and its corresponding taxonomy classification?
The Pdg,P.A.'s field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did the Pdg,P.A. receive its 1417015009?
The Pdg,P.A. was issued its 1417015009 on 2006-12-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Pdg,P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pdg,P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-28.