DR. JOSEPH A. REVAK DMD
NPI 1053529842
Dentist - General Practice in Jacksonville, MD

Active since May 18, 2007
3421 SWEET AIR RD, JACKSONVILLE, MD 21131(410) 628-7050(410) 628-1826 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph A. Revak Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH A. REVAK DMD (NPI 1053529842) is an individual general practice provider in Jacksonville, Maryland, licensed in Maryland (6200) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1053529842
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOSEPH A. REVAKCredential: DMD
Location Address3421 SWEET AIR RDJacksonville, MD 21131-1812
Mailing Address3421 Sweet Air RdJacksonville, MD 21131-1812 · (410) 628-7050 · Fax (410) 628-1826
Fax(410) 628-1826
Sole ProprietorYes
Enumeration DateMay 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053529842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 6200
Definition
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.
3421 SWEET AIR RD, Jacksonville, MD 21131

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3421 SWEET AIR RD
PHOENIX, MD 21131
Chiropractor
3421 SWEET AIR RD, SUITE 5
PHOENIX, MD 21131
Chiropractor
3421 SWEET AIR RD, SUITE 5
PHOENIX, MD 21131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Revak's NPI number?

The NPI number for Joseph Revak is 1053529842. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Joseph Revak located?

Joseph Revak practices at 3421 Sweet Air Rd, Jacksonville, MD 21131. The listed phone number is (410) 628-7050.

What is Joseph Revak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Joseph Revak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.