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

John Kennedy Revis, DDS

Individual provider Dentist · NPI 1588741466

John Kennedy Revis, DDS is a Dentist in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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.

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Practice location Address checks out

6035 Executive Dr Ste 200
Lansing, MI 48911
Phone: (517) 887-7200
Fax: (517) 887-1549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901016303 (MI)

Record details

NPI number1588741466
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2123 Beacon Hill Dr, Lansing, MI 48906

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