Jessica Russo Revand, Dmd, Ms, Pllc

LBN: Jessica Russo Revand, Dmd, Ms, Pllc
Jessica Russo Revand, Dmd, Ms, Pllc is an health care organization with primary practice located at 8987 Hersand Dr Ste 3 , Burke VA 22015-1604. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Jessica Russo Revand, Dmd, Ms, Pllc can be contacted via phone (703) 503-0555, or through Russo Revand, Jessica via phone (703) 503-0555.

Contact Information

Primary practice address
8987 Hersand Dr Ste 3 Burke VA 22015-1604
Phone: (703) 503-0555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russo Revand, Jessica DMD, MS
Phone: (703) 503-0555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1669060364
LBN Legal business name Jessica Russo Revand, Dmd, Ms, Pllc
DBA Doing business as
Authorized official Russo Revand, Jessica DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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