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

REVERE DENTAL

Active Organization

REVERE DENTAL is a Dental Clinic organization located in BOURBONNAIS, Illinois. NPI 1790479210 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · BOURBONNAIS, IL

Registration Details

NPI Number
1790479210
Provider Type
Organization
NPI Issued
Jun 7, 2023 (3.2199453525737 yrs)
Last Updated
Jun 7, 2023

Practice Information

Address
588 WILLIAM LATHAM DR STE 2
BOURBONNAIS, IL, 609142340
Browse IL providers · Browse ZIP 60914
Phone
8159336100
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in BOURBONNAIS, IL

Name NPI
BERNARD E RYAN DDS PC 1467615716
DENTAL DREAMS LLC 1083092670
BECK DENTAL PLLC 1245112333
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.