Michele Marie Revoir in Ham Lake - General Practice
Michele Marie Revoir - NPI 1205987872
Michele Marie Revoir is a General Practice in Ham Lake, Minnesota. Michele Marie Revoir practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michele Marie Revoir is 1205987872. The last update date is 2007-07-08.
Michele Marie Revoir'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 Michele Marie Revoir is 17565 Central Ave Ne, Ham Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele Marie Revoir |
|---|---|
| Address | 17565 Central Ave Ne, Ham Lake, Minnesota |
| Phone Number | 7634344188 |
| Fax Number | 7634137261 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1205987872 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
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 10-digit identification code assigned to Michele Marie Revoir by the Centers for Medicare & Medicaid Services?
The Michele Marie Revoir has been issued the NPI (National Provider Identifier) 1205987872, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michele Marie Revoir's facilities are geographically located?
The facilities of Michele Marie Revoir are physically situated at the following location: 17565 Central Ave Ne, Ham Lake, MN, 55304.
What is Michele Marie Revoir's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michele Marie Revoir's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Michele Marie Revoir receive its 1205987872 assignment from the Centers for Medicare & Medicaid Services?
The Michele Marie Revoir was assigned its 1205987872 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Michele Marie Revoir's information last updated?
The Michele Marie Revoir's information was last updated on 2007-07-08.