| Pdg, PA | |
|
4155 Dean Lakes Blvd Shakopee MN 55379 | |
| (952) 303-8320 | |
| (952) 303-8325 |
| Full Name | Pdg, PA |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4155 Dean Lakes Blvd, Shakopee, 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, PA 2200 County Road C W Ste 2210 Roseville MN 55113-2551 Ph: (651) 636-6350 | Pdg, PA 4155 Dean Lakes Blvd Shakopee MN 55379 Ph: (952) 303-8320 |
| NPI Number | 1821545930 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821545930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
True North Community Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 East First Avenue, Shakopee, MN 55379 Phone: 952-403-5149 |
Gentle Dentistry of Minnesota, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8074 Old Carriage Ct, Shakopee, MN 55379 Phone: 952-746-0808 Fax: 952-746-0866 |
Progressive Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 1st Ave E, Shakopee, MN 55379 Phone: 952-445-6622 Fax: 952-314-9610 |
Woodlake Orthodontics Shakopee Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1759 17th Ave E, Shakopee, MN 55379 Phone: 952-746-8996 Fax: 952-746-8996 |
Cities Dentistry, PA Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 1st Ave E, Shakopee, MN 55379 Phone: 952-445-6220 |
Kuhr Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Lewis St S Ste 101, Shakopee, MN 55379 Phone: 952-445-3349 |