NPI
Distinctive Dental Services Pa
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-07-17
- Last updated
- 2008-07-17
Specialties
Licenses
- License MN
- D08971
Location
- Practice location
- 4716 Central Ave Ne
- City
- Hilltop MN
- Postal code
- 55421-1944
- Phone
- (763) 572-9762
Organization contact
- Name
- MICHAEL THOENNES
- Title
- CEO
- Phone
- 7635729762
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Hilltop, MN. 11 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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