Individual provider · Type 1 NPI
Revana Emad Awadallah, DMD
General Practice Dentistry · Chisago City, MN
NPI number
1972237089
Active
Practice location
29663 Gateway Ave
Chisago City, MN 55013-0339
Mailing address
7741 Winter Wheat Way
Woodbury, MN 55129-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D14808 (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 Chisago City
- Mark W. Jurkovich, DDSGeneral Practice Dentistry Chisago City, MN NPI 1588621338
- Riley Scott Baumgartner, DDSGeneral Practice Dentistry Chisago City, MN NPI 1689416810
- David Bruce Albrecht, DDSGeneral Practice Dentistry Chisago City, MN NPI 1689773517
- Alison Lee Komarek, DDSGeneral Practice Dentistry Chisago City, MN NPI 1821113838
About NPI 1972237089
Revana Emad Awadallah, DMD's National Provider Identifier is 1972237089, issued on Jul 13, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chisago City, MN. The record was last updated on Jul 13, 2022.