Ham Lake Dental PA
Ham Lake Dental PA provides General Practice Dentistry in Ham Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17565 Central Ave NEHam Lake, MN 55304
Phone: (763) 434-4188
Fax: (763) 413-7261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D9362 (MN) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D10416 (MN) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D10544 (MN) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence D9466 (MN) |
Record details
| NPI number | 1205915881 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Revoir — Dentist · (763) 434-4188 |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 17565 Central Ave Ne, Ham Lake, MN 55304 |
Other providers in Ham Lake
-
Scott James Imberg, DDS
16220 Aberdeen St NE Ste A1, Ham Lake, MN 55304-5421 · (763) 434-4188
-
Dr. Scott Harris Kirkhoff, DDS
17565 Central Ave NE #220, Ham Lake, MN 55304 · (763) 434-4188
-
Dr. Michele Marie Revoir, DDS
17565 Central Ave NE, Ham Lake, MN 55304 · (763) 434-4188
-
Dr. Jeffrey Paul Wendt, DDS
17565 Central Ave NE #220, Ham Lake, MN 55304 · (763) 434-4188