Individual provider · Type 1 NPI

Brenton A. Reavley, DDS

Endodontics · Kansas City, MO

NPI number 1780810853 Active

Practice location

4151 N Mulberry Dr, Suite 230
Kansas City, MO 64116-4447

Fax (816) 326-8431

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	2007014548 (MO)
Endodontics Primary	1223E0200X	2007014548 (MO)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1780810853

Brenton A. Reavley, DDS's National Provider Identifier is 1780810853, issued on Jun 3, 2009. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Kansas City, MO. The record was last updated on Jul 20, 2009.