DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRADLEY DAVID REVENIS, DDS

Active Sole Proprietor

DR. BRADLEY DAVID REVENIS, DDS is a Dentist healthcare provider located in PEARL HARBOR, Hawaii. NPI 1609385368 is currently active in the NPPES registry. Verify at CMS.

Dentist · PEARL HARBOR, HI

Registration Details

NPI Number
1609385368
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2017 (8.8688917073614 yrs)
Last Updated
Jul 24, 2024
License
9872 (AZ)
Sole Proprietor
Yes

Practice Information

Address
NAVAL HEALTH CLINIC HAWAII
480 CENTRAL AVENUE
PEARL HARBOR, HI, 96860
Browse HI providers · Browse ZIP 96860
Phone
8082573365
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PEARL HARBOR, HI

Name Credential NPI
DR. ARTHUR KORB DDS 1760465280
CHAD LEE 1528041027
DR. JOHN C WILLIAMS D.D.S. 1700860145
DR. RENE J. ALOVA D.M.D. 1386620920
DR. ROBERT GERARD SHERMAN D.M.D. 1114903283
DR. VINH DANG DOAN D.M.D 1659358752
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.