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

Q: What is Michele Revoir's NPI number?

The NPI number for Michele Revoir is 1205987872. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Michele Revoir's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michele Revoir was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 16, 2026.

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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

Phone(763) 434-4188

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

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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.

HAM LAKE DENTAL PA

Dentist (General Practice)

17565 CENTRAL AVE NE
HAM LAKE, MN 55304

Anoka County (763) 434-4188

DR. JEFFREY PAUL WENDT DDS

Dentist (General Practice)

17565 CENTRAL AVE NE, #220
HAM LAKE, MN 55304

Anoka County (763) 434-4188

DR. SCOTT HARRIS KIRKHOFF DDS

Dentist (General Practice)

17565 CENTRAL AVE NE, #220
HAM LAKE, MN 55304

Anoka County (763) 434-4188

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 Michele Revoir's NPI number?

The NPI number for Michele Revoir is 1205987872. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Michele Revoir located?

Michele Revoir practices at 17565 Central Ave NE, Ham Lake, MN 55304. The listed phone number is (763) 434-4188.

What is Michele Revoir'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 Michele Revoir was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.