National Provider Identifier Database

JESSICA RUSSO REVAND DMD MS PLLC
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.


Contact Information

JESSICA RUSSO REVAND, DMD, MS, PLLC
8987 HERSAND DR STE 3
BURKE, VA22015-1604
Phone: 703-503-0555
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for JESSICA RUSSO REVAND, DMD, MS, PLLC

NPI Number 1669060364
Legal business name
LBN
JESSICA RUSSO REVAND, DMD, MS, PLLC
Authorized official JESSICA RUSSO REVAND - (OWNER/ENDODONTIST)
Entity Organization
Organization subpart No
Enumeration date 01/07/2021
Last updated 01/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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