Marta Revilla-Leon, DDS, MSD

Prosthodontics · Dallas, TX

Individual Active NPI

NPI number 1033683701

Practice location

3302 Gaston Avenue, College of Dentistry, Texas a&M Uni
Room 713
Dallas, TX 75246
Phone
(214) 828-8408

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NPI record

NPI
1033683701
Entity type
Individual (Type 1)
Enumeration date
January 16, 2019
Last updated
January 16, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 34706 TX

Mailing address

3302 Gaston Avenue, College Dentistry, Texas a&M Univer
Room 713
Dallas, TX 75246
Phone
(214) 828-8408

About Dr. Revilla-Leon

Marta Revilla-Leon, DDS, MSD is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 3302 Gaston Avenue, College of Dentistry, Texas a&M Uni, Room 713, Dallas, TX 75246. The NPI number 1033683701 was assigned on January 16, 2019 and the record was last updated on January 16, 2019.

Dr. Revilla-Leon lists a license in the registry: #34706 (TX) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marta Revilla-Leon, DDS, MSD?

The NPI number is 1033683701.

What is the phone number of Dr. Revilla-Leon?

The phone number listed for the practice location is (214) 828-8408.

Where is Dr. Revilla-Leon located?

3302 Gaston Avenue, College of Dentistry, Texas a&M Uni, Room 713, Dallas, TX 75246.

What is the taxonomy code for Dr. Revilla-Leon?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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