Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Revana Emad Awadallah, DMD

Individual provider General Practice Dentistry · NPI 1972237089

Dr. Revana Emad Awadallah, DMD is a General Practice Dentistry in Chisago City, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

29663 Gateway Ave
Chisago City, MN 55013-0339
Phone: (651) 257-3639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D14808 (MN)

Record details

NPI number1972237089
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateMay 17, 2022

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