Ham Lake Dental Pa is a Dental Clinic in Ham Lake, Minnesota. It is located at 17565 Central Ave Ne, Ham Lake, MN and its contact number is 763-434-4188. The authorized person for Ham Lake Dental Pa is Michele Marie Revoir
who is Dentist of the clinic and their contact number is 763-434-4188. The primary license number for Ham Lake Dental Pa is D9362 (General Practice) in Minnesota.
Ham Lake Dental Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ham Lake Dental Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ham Lake Dental Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 17565 Central Ave Ne, Ham Lake,
Minnesota, 55304 |
| Phone: | 763-434-4188 |
| Fax: | 763-413-7261 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Michele Marie Revoir |
| Position: | Dentist |
| Contact Number: | 763-434-4188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ham Lake Dental Pa clinic are as mentioned below.
| NPI Number: | 1205915881 |
| NPI Enumeration Date: | 03 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ham Lake Dental Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | D9362 | Minnesota | Primary | |
| General Practice | D10416 | Minnesota | Secondary | |
| General Practice | D10544 | Minnesota | Secondary | |
| General Practice | D9466 | Minnesota | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ham Lake Dental Pa
17565 Central Ave Ne,
Ham Lake, Minnesota |
| Zip: | 55304 |
| Phone Number: | 763-434-4188 |
| Fax Number: | 763-413-7261 |
Patients can reach Ham Lake Dental Pa at
17565 Central Ave Ne, Ham Lake, Minnesota or can
call to book an appointment on 763-434-4188.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.