Ham Lake Dental Pa

LBN: Ham Lake Dental Pa
Ham Lake Dental Pa is an health care organization with primary practice located at 17565 Central Ave Ne , Ham Lake MN 55304. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ham Lake Dental Pa can be contacted via phone (763) 434-4188, or through Revoir, Michele Marie via phone (763) 434-4188.

Contact Information

Primary practice address
17565 Central Ave Ne Ham Lake MN 55304
Phone: (763) 434-4188
Fax: (763) 413-7261
Website:
Map and Directions
Authorized official contact:
Name: Revoir, Michele Marie Doctor of Dental Surgery (DDS)
Phone: (763) 434-4188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9362 Minnesota
Dental Providers / General Practice 1223G0001X D10416 Minnesota
Dental Providers / General Practice 1223G0001X D10544 Minnesota
Dental Providers / General Practice 1223G0001X D9466 Minnesota

Profile Details

NPI number 1205915881
LBN Legal business name Ham Lake Dental Pa
DBA Doing business as
Authorized official Revoir, Michele Marie Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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