DR. GABIJA REVIS DMD NPI 1003309279

NPI Information

  • NPI: 1003309279
  • Provider Name: DR. GABIJA REVIS, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4201 RUCKER AVE
    EVERETT, WA
    ZIP 98203
  • Phone: (425) 382-4000

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NPI Details

DR. Gabija Revis, DMD is a general practice dentist in Everett, WA. The provider is 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. DR. Gabija Revis, DMD NPI is 1003309279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4201 RUCKER AVE
EVERETT, WA
ZIP 98203-215
Phone: (425) 382-4000

The NPI 1003309279 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/12/2018 and was last updated on 8/8/2022.

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
1122300000XDentistDN1858579MASSACHUSETTSNo
21223G0001XDentistGeneral Practice00203586COLORADONo
31223G0001XDentistGeneral PracticeDE61301658WASHINGTONYes

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: 3/30/2025

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