Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE A REVERENDO, D.D.S.
ActiveLEE A REVERENDO, D.D.S. is a Dentist healthcare provider located in NEWARK, New Jersey. NPI 1134242373 is currently active in the NPPES registry. Verify at CMS.
Dentist · NEWARK, NJ
Registration Details
- NPI Number
- 1134242373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.338166662713 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DI018176 (NJ)
Practice Information
- Address
-
350 LAFAYETTE STNEWARK, NJ, 071052725Browse NJ providers · Browse ZIP 07105
- Phone
- 9735892904
- Fax
- 9735891262
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| CHI FUNG IP | DMD | 1114905452 |
| THEODORE DAVIS | DMD | 1023097425 |
| LEALON A ROBINSON | DMD | 1073584512 |
| DR. JANINE FREDERICKS-YOUNGER | D.M.D. | 1760444988 |
| DR. REBECCA REED | DMD | 1053374322 |
| MAHNAZ FATAHZADEH | DMD | 1225096720 |
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.