HOWARD LAKE DENTAL
NPI 1073780805
Dentist - General Practice in Howard Lake, MN

Active since May 12, 2008
612 8TH AVE # 664, HOWARD LAKE, MN 55349(320) 543-2233(320) 543-2368 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Howard Lake Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOWARD LAKE DENTAL (NPI 1073780805) is a healthcare organization registered as a general practice in Howard Lake, Minnesota and active in the NPI registry since May 2008. The organization lists Michael John Thoennes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073780805
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDISTINCTIVE DENTAL SERVICES, PA
Location Address612 8TH AVE # 664Howard Lake, MN 55349-5137
Mailing Address612 8th Ave # 664Howard Lake, MN 55349-5137 · (320) 543-2233 · Fax (320) 543-2368
Fax(320) 543-2368
Organization SubpartYes
Authorized OfficialMichael John ThoennesCeo · (320) 485-4344
Enumeration DateMay 12, 2008
NPI 1073780805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D08971
Definition
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.
612 8TH AVE # 664, Howard Lake, MN 55349

Other Names 1

Doing Business AsHoward Lake Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Distinctive Dental Services, PA's NPI number?

The NPI number for Distinctive Dental Services, PA is 1073780805. It was assigned to this organization in the NPPES registry on May 12, 2008. The provider is doing business as Howard Lake Dental.

Where is Distinctive Dental Services, PA located?

Distinctive Dental Services, PA is located at 612 8th Ave # 664, Howard Lake, MN 55349. The listed phone number is (320) 543-2233.

What is Distinctive Dental Services, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Distinctive Dental Services, PA was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.