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SCANDIA FAMILY DENTAL PA
NPI 1194886630
Dentist in Scandia, MN

Active since December 12, 2006
21080 OLINDA TRAIL N, SCANDIA, MN 55073(651) 433-2655(651) 433-2655 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scandia Family Dental Pa NPPES

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

SCANDIA FAMILY DENTAL PA (NPI 1194886630) is a healthcare organization registered as a dentist in Scandia, Minnesota and active in the NPI registry since December 2006. The organization lists Michele Marie Revoir, Dentist, as its authorized official.

NPPES Registry Identity

NPI1194886630
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSCANDIA FAMILY DENTAL PA
Location Address21080 OLINDA TRAIL NScandia, MN 55073
Mailing Address21080 Olinda Trail NScandia, MN 55073 · (651) 433-2655 · Fax (651) 433-2655
Phone(651) 433-2655
Fax(651) 433-2655
Organization SubpartNo
Authorized OfficialMichele Marie RevoirDentist · (651) 433-2655
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194886630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
21080 OLINDA TRAIL N, Scandia, MN 55073
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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

Other Providers at the Same Location NPPES

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

JENNIFER JO LABERGE DDS
Dentist
21080 OLINDA TRAIL N
SCANDIA, MN 55073
Washington County (615) 433-2655

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 Scandia Family Dental PA's NPI number?

The NPI number for Scandia Family Dental PA is 1194886630. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Scandia Family Dental PA located?

Scandia Family Dental PA is located at 21080 Olinda Trail N, Scandia, MN 55073. The listed phone number is (651) 433-2655.

What is Scandia Family Dental PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Scandia Family Dental PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.