Pdg,P.A. in Coon Rapids - General Practice

Pdg,P.A. - NPI 1821164963

Pdg,P.A. is a General Practice in Coon Rapids, Minnesota. Pdg,P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pdg,P.A. is 1821164963. The last update date is 2020-10-28.

Pdg,P.A.'s current location address is 9145 Springbrook Dr Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637864632 and fax number 7637868673. The mailing address for Pdg,P.A. is 9145 Springbrook Dr Nw, Coon Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pdg,P.A.
Address 9145 Springbrook Dr Nw, Coon Rapids, Minnesota
Phone Number 7637864632
Fax Number 7637868673
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 1821164963
Provider Enumeration Date 2006-11-28
Last Updated Date 2020-10-28

Provider Mailing Address Detail

Address 9145 Springbrook Dr Nw
City Coon Rapids
State Minnesota (MN)
Post Code 554335885
Phone Number 7637864632
Fax Number 7637868673

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.

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FAQs about Pdg,P.A.

What is the unique 10-digit 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) 1821164963 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Pdg,P.A. located?

The Pdg,P.A. is located at 9145 Springbrook Dr Nw, Coon Rapids, MN 554335885.

What is the Pdg,P.A.'s area of specialization and corresponding taxonomy classification?

The Pdg,P.A.'s specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1821164963 to Pdg,P.A.?

The Centers for Medicare & Medicaid Services originally issued the 1821164963 to Pdg,P.A. on 2006-11-28.

When was the information regarding Pdg,P.A. most recently updated?

The details pertaining to the Pdg,P.A., including its address, specialty, and other relevant information, were last refreshed on 2020-10-28.

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