JESSICA RUSSO REVAND, DMD, MS
Endodontics · ALEXANDRIA, VA
Individual Active Opted out of Medicare NPI 1770712705
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endodontics | 1223E0200X | ✓ | 0401412509 | VA |
| Endodontics | 1223E0200X | DEN1000827 | DC | |
| Endodontics | 1223E0200X | 51517 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Dentist), effective 2016-05-23 through 2028-05-23.
Other Endodontics providers in Virginia
- NPI 1821364191
- NPI 1003090234
- NPI 1669483012
- NPI 1477746659
- NPI 1356352702
- NPI 1568449726
- NPI 1124368139
- NPI 1437015500
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.