Pdg,P.A. is a General Practice in Brooklyn Center, Minnesota. Pdg,P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdg,P.A. is 1518033695. The last update date is 2020-10-28.
Pdg,P.A.'s current location address is 6437 Brooklyn Blvd, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635317177. The mailing address for Pdg,P.A. is 6437 Brooklyn Blvd, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pdg,P.A. |
|---|---|
| Address | 6437 Brooklyn Blvd, Brooklyn Center, Minnesota |
| Phone Number | 7635317177 |
| 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 | 1518033695 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | 6437 Brooklyn Blvd |
|---|---|
| City | Brooklyn Center |
| State | Minnesota (MN) |
| Post Code | 554292174 |
| Phone Number | 7635317177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1518033695, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pdg,P.A.?
The Pdg,P.A. is situated at 6437 Brooklyn Blvd, in the city of Brooklyn Center, state of MN, with the zip code 554292174.
What is Pdg,P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pdg,P.A. is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Pdg,P.A. receive its 1518033695 assignment?
The Pdg,P.A. was assigned its 1518033695 on 2006-11-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Pdg,P.A. most recently updated or revised?
The information pertaining to Pdg,P.A., including its address, specialty, and other relevant details, was last updated or revised on 2020-10-28.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA