Dr. Bradley David Revenis is a Great Lakes, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Bradley David Revenis is 9872 for Dentistry in Arizona. His current practice location is 2470 Sampson Street, Great Lakes. Patients can reach him at 240-401-0930.
Dr. Bradley David Revenis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Bradley David Revenis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Bradley David Revenis
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2470 Sampson Street, Great Lakes, Illinois, 60088
Phone:
240-401-0930
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609385368
NPI Enumeration Date:
26 Sep, 2017
NPI Last Update On:
26 Sep, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley David Revenis are as mentioned below.
License Number
Specialization
State
Status
9872
Dentistry
Arizona
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4531 N Rockwell St # 2, Chicago, Illinois
Zip:
60625-3020
Patients can reach Dr. Bradley David Revenis at 2470 Sampson Street, Great Lakes, Illinois or can call to book an appointment on 240-401-0930. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.