| Pdg, P.a. | |
|
511 Elm St Farmington MN 55024-1126 | |
| (952) 303-7028 | |
| Not Available |
| Full Name | Pdg, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 511 Elm St, Farmington, Minnesota |
| Authorized Official Name and Position | John Gulon (PRESIDENT) |
| Authorized Official Contact | 6516330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pdg, P.a. 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | Pdg, P.a. 511 Elm St Farmington MN 55024-1126 Ph: (952) 303-7028 |
| NPI Number | 1962760462 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962760462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Immanuel Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Third Street, Farmington, MN 55024 Phone: 651-463-2880 Fax: 651-463-2840 | |
Dental Health Center, Dds, Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 19645 Pilot Knob Rd, Farmington, MN 55024 Phone: 651-463-2300 Fax: 651-463-2118 | |
Orthodontic Care Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Division St, Farmington, MN 55024 Phone: 651-463-2800 | |
Modern Dental Professionals, Mn Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024 Phone: 651-315-8229 Fax: 651-571-0142 | |
Harms-tri Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 1st St, Farmington, MN 55024 Phone: 651-463-7777 Fax: 651-460-6123 |