Individual provider · Type 1 NPI

Luke William Revelt, DMD

General Practice Dentistry · Alton, IL

NPI number 1669088381 Active

Practice location

2800 College Ave
Alton, IL 62002-4742

Mailing address

4 Azalea Ct
Edwardsville, IL 62025-3999

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019032795 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1669088381

Luke William Revelt, DMD's National Provider Identifier is 1669088381, issued on Sep 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Alton, IL. The record was last updated on Sep 17, 2020.