IndividualActive
Robert Revere, DDS
NPI 1699829077 · Dentist · Jackson, MS
Robert Revere, DDS is a Dentist provider in Jackson, MS (NPI 1699829077).
Provider details
- NPI number
- 1699829077
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 168075 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6 Lakeland Circle
Jackson, MS 39216
Phone: (601) 366-6177
Street-level locationGet directions
Mailing address
6 Lakeland Circle
Jackson, MS 39216
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Robert Revere's NPI number?
- Robert Revere's National Provider Identifier (NPI) is 1699829077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Revere's specialty?
- Robert Revere is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Robert Revere located?
- Robert Revere's practice location on file with NPPES is 6 Lakeland Circle, Jackson, MS 39216.
- What is Robert Revere's phone number?
- The practice phone number listed in the NPPES registry for Robert Revere is (601) 366-6177.
- Is Robert Revere's NPI active?
- Yes — Robert Revere's NPI (1699829077) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.