DR. LUKE WILLIAM REVELT DMD NPI 1669088381

NPI Information

NPI: 1669088381
Provider Name: DR. LUKE WILLIAM REVELT, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
2800 COLLEGE AVE
ALTON, IL
ZIP 62002
Phone: (618) 474-7000
Get Directions

DR. Luke William Revelt, DMD is a general practice dentist in Alton, IL. 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. Luke William Revelt, DMD NPI is 1669088381. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2800 COLLEGE AVE
ALTON, IL
ZIP 62002-742
Phone: (618) 474-7000

The enumeration date for this NPI number is 9/17/2020 and was last updated on 9/17/2020.

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	1223G0001X	Dentist	General Practice	019032795	ILLINOIS	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: 11/14/2023

NPI Synchronization or Removal

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