Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH A. REVAK, DMD
Active Sole ProprietorDR. JOSEPH A. REVAK, DMD is a General Dentistry healthcare provider located in JACKSONVILLE, Maryland. NPI 1053529842 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · JACKSONVILLE, MD
Registration Details
- NPI Number
- 1053529842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.096811949521 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6200 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3421 SWEET AIR RDJACKSONVILLE, MD, 211311812Browse MD providers · Browse ZIP 21131
- Phone
- 4106287050
- Fax
- 4106281826
- Primary Specialty
-
General Dentistry
1223G0001X
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.