Individual provider · Type 1 NPI

Bradley David Revenis, DDS

Dentist · Fallon, NV

NPI number 1609385368 Active

Practice location

Branch Health Clinic Fallon, 383 Churchill Ave
Fallon, NV 89406

Mailing address

Nmrtu Fallon, 383 Churchill Ave
Fallon, NV 89406

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X9872 (AZ)

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 1609385368

Bradley David Revenis, DDS's National Provider Identifier is 1609385368, issued on Sep 26, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fallon, NV. The record was last updated on Jul 10, 2026.