DR. MICHELE MARIE REVOIR DDS
NPI 1205987872
Dentist - General Practice in Ham Lake, MN

Active since January 12, 2007
17565 CENTRAL AVE NE, HAM LAKE, MN 55304(763) 434-4188(763) 413-7261 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michele Marie Revoir Dds NPPES

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

DR. MICHELE MARIE REVOIR DDS (NPI 1205987872) is an individual general practice provider in Ham Lake, Minnesota, licensed in Minnesota (D10416) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205987872
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHELE MARIE REVOIRCredential: DDS
Location Address17565 CENTRAL AVE NEHam Lake, MN 55304
Mailing Address17565 Central Ave NeHam Lake, MN 55304 · (763) 434-4188 · Fax (763) 413-7261
Fax(763) 413-7261
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205987872 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 · D10416
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.

17565 CENTRAL AVE NE, Ham Lake, MN 55304

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
17565 CENTRAL AVE NE, #220
HAM LAKE, MN 55304
Dentist (General Practice)
17565 CENTRAL AVE NE, #220
HAM LAKE, MN 55304
Dentist (General Practice)
17565 CENTRAL AVE NE
HAM LAKE, MN 55304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205987872, enumerated as an "individual" on January 12, 2007.

The provider is located at 17565 CENTRAL AVE NE HAM LAKE, MN 55304 and the phone number is (763) 434-4188.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.