MEDICARE: DR. REVA B PRESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8729	MD

General Provider Information

NPI Number	:	1366422826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REVA B PRESS

Provider Business Mailing Address
First Line	:	709 CORNWALL ST
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3625
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 BUCHANAN ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20374-5020
Country	:	US
Telephone Number	:	202-433-2480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	07/08/2007

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