CARLSON DISTINCTIVE DENTISTRY PLLC NPI 1598243990

NPI Information

  • NPI: 1598243990
  • Provider Name: CARLSON DISTINCTIVE DENTISTRY, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1701 CURVE CREST BLVD W STE 100
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 439-8840

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NPI Details

CARLSON DISTINCTIVE DENTISTRY, PLLC is a general practice dentist in Stillwater, 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. CARLSON DISTINCTIVE DENTISTRY, PLLC NPI is 1598243990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 CURVE CREST BLVD W STE 100
STILLWATER, MN
ZIP 55082
Phone: (651) 439-8840

The provider's authorized official is Sarah L Carlson .
The authorized official title is President/ceo and has the following contact phone number (651) 472-4713.

The enumeration date for this NPI number is 7/30/2018 and was last updated on 3/7/2023.

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 PracticeD12115MINNESOTAYes

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
16847-15OTHERWISCONSINWI DENTAL BOARD
2D12115OTHERMINNESOTAMN BOARD OF DENTISTRY
31306976279OTHERNPI

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: 3/30/2025

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