REVEAL DIAGNOSTICS LLC NPI 1487902821

NPI Information

NPI: 1487902821
Provider Name: REVEAL DIAGNOSTICS, LLC

Other Name: REVEAL DIAGNOSTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
100 W EL CAMINO REAL
SUITE 63B
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (415) 837-5990
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REVEAL DIAGNOSTICS, LLC is a dental clinic center in Mountain View, CA. REVEAL DIAGNOSTICS, LLC NPI is 1487902821. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Reveal Diagnostics.

The provider's business location address is:

100 W EL CAMINO REAL
SUITE 63B
MOUNTAIN VIEW, CA
ZIP 94040-664
Phone: (415) 837-5990
Fax: (888) 808-6160

The provider's authorized official is Aimee Knight .
The authorized official title is President and has the following contact phone number (415) 730-0970.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 3/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging			No
2	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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