DISTINCTIVE DENTAL SERVICES PA NPI 1144484205

NPI Information

  • NPI: 1144484205
  • Provider Name: DISTINCTIVE DENTAL SERVICES PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: HILLTOP DENTAL
  • Address: 4716 CENTRAL AVE NE
    HILLTOP, MN
    ZIP 55421
  • Phone: (763) 572-9762

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NPI Details

DISTINCTIVE DENTAL SERVICES PA is a general practice dentist in Hilltop, MN. The provider is 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. DISTINCTIVE DENTAL SERVICES PA NPI is 1144484205. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hilltop Dental.

The provider's business location address is:

4716 CENTRAL AVE NE
HILLTOP, MN
ZIP 55421-944
Phone: (763) 572-9762
Fax: (763) 572-2827

The provider's authorized official is Michael John Thoennes .
The authorized official title is Ceo and has the following contact phone number (763) 572-9762.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD08971MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1949522300MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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