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NPI 1609385368

IndividualActive

Bradley Revenis, DDS

NPI 1609385368 · Dentist · Pearl Harbor, HI

Provider details

NPI number: 1609385368
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 9872 (AZ)

Practice location

Naval Health Clinic Hawaii

480 Central Avenue

Pearl Harbor, HI 96860

Phone: (808) 257-3365

More HI providers

Mailing address

21st Dental Company, 3rd Dental Bn

Kaneohe Bay, HI 96863

Registry dates

Enumerated: 2017-09-26
Last updated: 2024-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradley Revenis, DDS — NPI 1609385368, Pearl Harbor, HI | NPI Central