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

DR. JESSICA RUSSO REVAND, DMD, MS

Active Sole Proprietor

DR. JESSICA RUSSO REVAND, DMD, MS is a Endodontics healthcare provider located in ALEXANDRIA, Virginia. NPI 1770712705 is currently active in the NPPES registry. Verify at CMS.

Endodontics · ALEXANDRIA, VA

Registration Details

NPI Number
1770712705
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2009 (17.047106699118 yrs)
Last Updated
Jul 13, 2009
Licenses
0401412509 (VA)
DEN1000827 (DC)
51517 (CA)
Sole Proprietor
Yes

Practice Information

Address
4660 KENMORE AVE
SUITE 700
ALEXANDRIA, VA, 223041313
Browse VA providers · Browse ZIP 22304
Phone
7033701327
Fax
7033701907
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
Additional Specialty
Endodontics

Other Endodontics Providers in ALEXANDRIA, VA

Name Credential NPI
DR. LOKEN MUKESH PATEL D.M.D 1568449726
DR. LAWRENCE MARK KOTLER DDS 1356352702
DR. JOEL ROBERT KESSLER DDS 1669483012
DR. DAVID PALMIERI 1003090234
DR. CHAYNE E COSTON DDS 1821364191
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.