John Kennedy Revis is a Dentist in Lansing, Michigan. John Kennedy Revis practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Kennedy Revis is 1588741466. The last update date is 2007-07-08.
John Kennedy Revis's current location address is 2123 Beacon Hill Dr, Lansing, Michigan. You can contact this provider via phone number 5178877200. The mailing address for John Kennedy Revis is 2123 Beacon Hill Dr, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kennedy Revis |
|---|---|
| Address | 2123 Beacon Hill Dr, Lansing, Michigan |
| Phone Number | 5178877200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588741466 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2123 Beacon Hill Dr |
|---|---|
| City | Lansing |
| State | Michigan (MI) |
| Post Code | 48906 |
| Phone Number | 5178877200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901016303 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John Kennedy Revis?
The John Kennedy Revis has been issued the NPI (National Provider Identifier) 1588741466 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Kennedy Revis's physical address?
The John Kennedy Revis is physically located at 2123 Beacon Hill Dr, in the city of Lansing, MI, with the postal code 48906.
What is John Kennedy Revis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Kennedy Revis's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588741466 to John Kennedy Revis?
The Centers for Medicare & Medicaid Services assigned the 1588741466 to John Kennedy Revis on 2006-10-31.
As of what date were the John Kennedy Revis's details last updated?
The information pertaining to the John Kennedy Revis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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