Search › Mississippi › 122300000X
Robert Revere, DDS
NPI 1699829077 · on the registry since 2007
Practice
- Address
- 6 Lakeland Circle
Jackson, MS 39216 - Phone
- (601) 366-6177
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi