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DISTINCTIVE DENTAL
NPI 1538469598
Dentist - General Practice in Faribault, MN

Active since October 25, 2010
417 LINCOLN AVE NW, FARIBAULT, MN 55021(507) 332-8888 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Distinctive Dental NPPES

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

DISTINCTIVE DENTAL (NPI 1538469598) is a healthcare organization registered as a general practice in Faribault, Minnesota and active in the NPI registry since October 2010. The organization lists Charles N Miller, President, as its authorized official.

NPPES Registry Identity

NPI1538469598
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHARLES N. MILLER DDS PA
Location Address417 LINCOLN AVE NWFaribault, MN 55021-4952
Mailing Address417 Lincoln Ave NwFaribault, MN 55021-4952 · (507) 332-8888
Phone(507) 332-8888
Organization SubpartNo
Authorized OfficialCharles N MillerPresident · (507) 332-8888
Enumeration DateOctober 25, 2010
Last NPPES UpdateAugust 22, 2013
✔ NPI 1538469598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · D10738✔ Licensed in MN · D7255
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.
417 LINCOLN AVE NW, Faribault, MN 55021
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Other Names 1

Doing Business AsDistinctive 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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS WIESE D.D.S.
Dentist
417 LINCOLN AVE NW
FARIBAULT, MN 55021
Rice County (507) 332-7608
THOMAS BACKENSTOSE
Dentist (General Practice)
417 LINCOLN AVE NW
FARIBAULT, MN 55021
Rice County (507) 332-7608

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 Charles N. Miller Dds PA's NPI number?

The NPI number for Charles N. Miller Dds PA is 1538469598. It was assigned to this organization in the NPPES registry on October 25, 2010. The provider is doing business as Distinctive Dental.

Where is Charles N. Miller Dds PA located?

Charles N. Miller Dds PA is located at 417 Lincoln Ave NW, Faribault, MN 55021. The listed phone number is (507) 332-8888.

What is Charles N. Miller Dds 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 Charles N. Miller Dds PA was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.