PARK DENTAL
NPI 1104985456
Dentist - General Practice in Roseville, MN

NPI Status: Active since December 06, 2006

Contact Information

1835 CTY RD C-WEST
SUITE 220
ROSEVILLE, MN
ZIP 55113
Phone: (651) 636-2123

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  • Organization
  • Dentist
  • General Practice

About PARK DENTAL

This page provides the complete NPI Profile along with additional information for Park Dental, a provider established in Roseville, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1104985456 assigned on December 2006. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Park Dental. The authorized official of this NPI record is Dr. John Gulon D.d.s. (President)

NPI
1104985456
Provider Legal Name
PDG, P.A.
Other Organization Name
PARK DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1835 CTY RD C-WEST SUITE 220 ROSEVILLE, MN 55113
Location Phone
(651) 636-2123
Mailing Address
2200 COUNTY ROAD C W SUITE 2210 ROSEVILLE, MN 55113
Mailing Phone
(651) 746-2804
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-06-2006
Last Update Date
10-28-2020
Code Navigator

A dentist like Park Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN GULON D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 633-0500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104985456
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418810410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 8 + 1 + 0 + 4 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1104985456 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104985456, enumerated in the NPI registry as an "organization" on December 06, 2006

The provider is located at 1835 Cty Rd C-west Suite 220 Roseville, Mn 55113 and the phone number is (651) 636-2123

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on December 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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