Individual provider · Type 1 NPI

Shannon K. Reveley, DDS

Dentist · Glen Burnie, MD

NPI number 1134565328 Active

Practice location

1811 Crain Hwy S Ste A
Glen Burnie, MD 21061-5561

Mailing address

43 Jones Falls Ter
Baltimore, MD 21209-1684

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X13800 (MD)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1134565328

Shannon K. Reveley, DDS's National Provider Identifier is 1134565328, issued on May 15, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Glen Burnie, MD. The record was last updated on Feb 23, 2026.