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Ham Lake Dental PA

General Practice Dentistry in Ham Lake, MN · enumerated 2006 · authorized official Michele Revoir, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205915881

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Registry record

Entity type Organization (Type 2)
Legal business name Ham Lake Dental PA
Practice address 17565 Central Ave Ne, Ham Lake, MN, 55304
Phone (763) 434-4188
Fax (763) 413-7261
Enumeration date Nov 3, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D9362 (MN) Primary
1223G0001X General Practice Dentistry Dental Providers · License D10416 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D10544 (MN) Secondary
1223G0001X General Practice Dentistry Dental Providers · License D9466 (MN) Secondary

Authorized official

Name Michele Revoir
Title Dentist
Phone (763) 434-4188

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Ham Lake Dental PA located?
The practice location on file with NPPES is in Ham Lake, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.