John Kennedy Revis, DDS

Dentist · Lansing, MI

Individual Active NPI

NPI number 1588741466

Practice location

6035 Executive Dr
Ste 200
Lansing, MI 48911
Phone
(517) 887-7200
Fax
(517) 887-1549

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NPI record

NPI
1588741466
Entity type
Individual (Type 1)
Enumeration date
October 31, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901016303 MI

Mailing address

2123 Beacon Hill Dr
Lansing, MI 48906
Phone
(517) 887-7200

About Dr. Revis

John Kennedy Revis, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6035 Executive Dr, Ste 200, Lansing, MI 48911. The NPI number 1588741466 was assigned on October 31, 2006 and the record was last updated on July 8, 2007.

Dr. Revis lists a license in the registry: #2901016303 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Kennedy Revis, DDS?

The NPI number is 1588741466.

What is the phone number of Dr. Revis?

The phone number listed for the practice location is (517) 887-7200.

Where is Dr. Revis located?

6035 Executive Dr, Ste 200, Lansing, MI 48911.

What is the taxonomy code for Dr. Revis?

The primary taxonomy code is 122300000X – Dentist.

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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