Individual provider · Type 1 NPI

Venkata Revuru

Dentist · Elkhorn, NE

NPI number 1811515836 Active

Practice location

18140 Burke St Ste 100
Elkhorn, NE 68022-4433

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X7640 (NE)

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 1811515836

Venkata Revuru's National Provider Identifier is 1811515836, issued on Jul 7, 2020. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Elkhorn, NE. The record was last updated on Feb 9, 2026.