REVEILLE DENTAL
NPI 1477848315
Dentist - General Practice in Houston, TX

Q: What is Reveille Dental's NPI number?

The NPI number for Reveille Dental is 1477848315. It was assigned to this organization in the NPPES registry on June 17, 2011.

Q: What is Reveille Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reveille Dental was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 17, 2011

3722 REVEILLE ST, HOUSTON, TX 77087(713) 645-0200(713) 645-0402 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Reveille Dental NPPES

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

REVEILLE DENTAL (NPI 1477848315) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since June 2011. The organization lists Mary N Phan, President, as its authorized official.

NPPES Registry Identity

NPI1477848315

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameREVEILLE DENTAL

Location Address3722 REVEILLE STHouston, TX 77087-4529

Mailing Address3722 Reveille StHouston, TX 77087-4529 · (713) 645-0200 · Fax (713) 645-0402

Phone(713) 645-0200

Fax(713) 645-0402

Organization SubpartNo

Authorized OfficialMary N PhanPresident · (713) 645-0200

Enumeration DateJune 17, 2011

✔ NPI 1477848315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22438

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.

3722 REVEILLE ST, Houston, TX 77087

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Other Identifiers 1

Medicaid178688101TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Reveille Dental's NPI number?

The NPI number for Reveille Dental is 1477848315. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is Reveille Dental located?

Reveille Dental is located at 3722 Reveille St, Houston, TX 77087. The listed phone number is (713) 645-0200.

What is Reveille Dental'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 Reveille Dental was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.