Ham Lake Dental PA
NPI 1205915881 · General Practice Dentistry · Ham Lake, MN
Ham Lake Dental PA is a General Practice Dentistry organization in Ham Lake, MN (NPI 1205915881).
Provider details
- NPI number
- 1205915881
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michele Revoir, Dentist(763) 434-4188
- License
- D10416 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ham Lake Dental PA's NPI number?
- Ham Lake Dental PA's National Provider Identifier (NPI) is 1205915881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ham Lake Dental PA?
- Ham Lake Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ham Lake Dental PA located?
- Ham Lake Dental PA's practice location on file with NPPES is 17565 Central Ave Ne, Ham Lake, MN 55304.
- What is Ham Lake Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Ham Lake Dental PA is (763) 434-4188.
- Who is the authorized official for Ham Lake Dental PA?
- The authorized official listed on Ham Lake Dental PA's NPPES record is Michele Revoir, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ham Lake Dental PA's NPI active?
- Yes — Ham Lake Dental PA's NPI (1205915881) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.