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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 Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

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

NPI # 1669060364
LBN Legal business name JESSICA RUSSO REVAND, DMD, MS, PLLC
Authorized official JESSICA RUSSO REVAND - (OWNER/ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2021
Last updated 01/07/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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