| Distinctive Dental Services, Pa | |
|
131 Main Ave W Winsted MN 55395-7873 | |
| (320) 485-4344 | |
| (320) 485-4734 |
| Full Name | Distinctive Dental Services, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 Main Ave W, Winsted, Minnesota |
| Authorized Official Name and Position | Michael John Thoennes (CEO) |
| Authorized Official Contact | 3204854344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dental Services, Pa 131 Main Avenue West Box 599 Winsted MN 55395-0599 Ph: (320) 485-4344 | Distinctive Dental Services, Pa 131 Main Ave W Winsted MN 55395-7873 Ph: (320) 485-4344 |
| NPI Number | 1457571952 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457571952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Winsted Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Fairlawn Ave W, Winsted, MN 55395 Phone: 320-485-3881 | |
Winsted Gentle Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Fairlawn Ave West, Winsted, MN 55395 Phone: 320-485-3881 Fax: 320-485-4322 |