Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DISTINCTIVE DENTAL SERVICES, PA
Active OrganizationDISTINCTIVE DENTAL SERVICES, PA is a General Dentistry organization located in HOWARD LAKE, Minnesota. NPI 1073780805 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HOWARD LAKE, MN
Registration Details
- NPI Number
- 1073780805
- Provider Type
- Organization
- NPI Issued
- May 12, 2008 (18.271441881087 yrs)
- Last Updated
- May 12, 2008
- License
-
D08971 (MN)
Practice Information
- Address
-
612 8TH AVE # 664HOWARD LAKE, MN, 553495137Browse MN providers · Browse ZIP 55349
- Phone
- 3205432233
- Fax
- 3205432368
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.