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DR. REVANA EMAD AWADALLAH DMD
NPI 1972237089
Dentist - General Practice in Chisago City, MN

Active since July 13, 2022
29663 GATEWAY AVE, CHISAGO CITY, MN 55013(651) 257-3639 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Revana Emad Awadallah Dmd NPPES

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

DR. REVANA EMAD AWADALLAH DMD (NPI 1972237089) is an individual general practice provider in Chisago City, Minnesota, licensed in Minnesota (D14808) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1972237089
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. REVANA EMAD AWADALLAHCredential: DMD
Location Address29663 GATEWAY AVEChisago City, MN 55013-0339
Mailing Address7741 Winter Wheat WayWoodbury, MN 55129-2401 · (651) 274-7561
Phone(651) 257-3639
Sole ProprietorYes
Enumeration DateJuly 13, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1972237089 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 · D14808
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.
29663 GATEWAY AVE, Chisago City, MN 55013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

MODERN DENTAL PROFESSIONALS MINNESOTA PC
Dentist (General Practice)
29663 GATEWAY AVE
CHISAGO CITY, MN 55013
Chisago County (651) 257-3639
DR. MARK W JURKOVICH DDS
Dentist (General Practice)
29663 GATEWAY AVE
CHISAGO CITY, MN 55013
Chisago County (651) 257-3639
DR. RILEY SCOTT BAUMGARTNER DDS
Dentist (General Practice)
29663 GATEWAY AVE
CHISAGO CITY, MN 55013
Chisago County (651) 257-3639

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 Revana Awadallah's NPI number?

The NPI number for Revana Awadallah is 1972237089. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Revana Awadallah located?

Revana Awadallah practices at 29663 Gateway Ave, Chisago City, MN 55013. The listed phone number is (651) 257-3639.

What is Revana Awadallah's specialty?

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

What insurance does Revana Awadallah accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Revana Awadallah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revana Awadallah was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.