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

Dr. Bradley David Revenis, DDS

Individual provider Dentist · NPI 1609385368

Dr. Bradley David Revenis, DDS is a Dentist in Fallon, Nevada. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Partly verified

Some contact details are missing from the federal record.

Branch Health Clinic Fallon 383 Churchill Ave
Fallon, NV 89406
Phone: (775) 426-3164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9872 (AZ)

Record details

NPI number1609385368
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 26, 2017
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing addressNmrtu Fallon, 383 Churchill Ave, Fallon, NV 89406

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