Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REVANA EMAD AWADALLAH, DMD
Active Sole ProprietorDR. REVANA EMAD AWADALLAH, DMD is a General Dentistry healthcare provider located in CHISAGO CITY, Minnesota. NPI 1972237089 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHISAGO CITY, MN
Registration Details
- NPI Number
- 1972237089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2022 (4.0471061758986 yrs)
- Last Updated
- Jul 13, 2022
- License
-
D14808 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29663 GATEWAY AVECHISAGO CITY, MN, 550130339Browse MN providers · Browse ZIP 55013
- Phone
- 6512573639
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CHISAGO CITY, MN
| Name | Credential | NPI |
|---|---|---|
| DR. MARK W JURKOVICH | DDS | 1588621338 |
| DR. DAVID BRUCE ALBRECHT | D.D.S. | 1689773517 |
| ALISON LEE KOMAREK | D.D.S. | 1821113838 |
| DR. RILEY SCOTT BAUMGARTNER | DDS | 1689416810 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.