Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revere Dental and Orthodontics PC

Organization Dentist · NPI 1053180208

Revere Dental and Orthodontics PC is a Dentist in Revere, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 Revere St
Revere, MA 02151-4439
Phone: (617) 275-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1053180208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neetu Bansal — Owner · (617) 275-6306
NPI enumeratedDecember 29, 2023
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023
Mailing address8 Brighton St Apt 3, Charlestown, MA 02129-1260

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