Individual provider · Type 1 NPI
Michele Marie Revoir, DDS
General Practice Dentistry · Ham Lake, MN
NPI number
1205987872
Active
Practice location
17565 Central Ave NE
Ham Lake, MN 55304
Fax (763) 413-7261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D10416 (MN) |
General Practice Dentistry: 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.
3 other providers at this address
Other general practice dentistry providers in Ham Lake
About NPI 1205987872
Michele Marie Revoir, DDS's National Provider Identifier is 1205987872, issued on Jan 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ham Lake, MN. The record was last updated on Jul 8, 2007.