Ham Lake Dental Pa in Ham Lake - General Practice
Ham Lake Dental Pa - NPI 1205915881
Ham Lake Dental Pa is a General Practice in Ham Lake, Minnesota. Ham Lake Dental Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ham Lake Dental Pa is 1205915881. The last update date is 2020-08-22.
Ham Lake Dental Pa's current location address is 17565 Central Ave Ne, Ham Lake, Minnesota. You can contact this provider via phone number 7634344188 and fax number 7634137261. The mailing address for Ham Lake Dental Pa is 17565 Central Ave Ne, Ham Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ham Lake Dental Pa |
|---|---|
| Address | 17565 Central Ave Ne, Ham Lake, Minnesota |
| Phone Number | 7634344188 |
| Fax Number | 7634137261 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Revoir Marie Michele |
| Credentials | DDS |
| Telephone Number | 7634344188 |
NPI Number Detail
| NPI Number | 1205915881 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17565 Central Ave Ne |
|---|---|
| City | Ham Lake |
| State | Minnesota (MN) |
| Post Code | 55304 |
| Phone Number | 7634344188 |
| Fax Number | 7634137261 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D10416 |
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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. |
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What is the unique identification code assigned to Ham Lake Dental Pa by the Centers for Medicare & Medicaid Services?
The Ham Lake Dental Pa has been issued the NPI (National Provider Identifier) 1205915881. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ham Lake Dental Pa is geographically located?
The Ham Lake Dental Pa is physically situated at the following location: 17565 Central Ave Ne, Ham Lake, MN, 55304.
What is Ham Lake Dental Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ham Lake Dental Pa is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date was the 1205915881 assigned to Ham Lake Dental Pa?
The Ham Lake Dental Pa was issued its 1205915881 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ham Lake Dental Pa most recently updated or revised?
The details related to Ham Lake Dental Pa, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.