Revan Dawood, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D010736 Issued in AZ

Practice address

4365 E Pecos Rd Ste 127
Gilbert, AZ 85295-8052

Phone

(480) 331-4955

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glisten Dental Glendale

  • Dentist
  • Glendale, AZ
  • NPI 1811789340
  NPD Authorized official
• Glisten Dental LLC

  • General Practice Dentistry
  • Gilbert, AZ
  • NPI 1104553478
  NPD Authorized official
• Glisten Dental Mesa Dba Sunview Dental

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1689462467
  NPD Authorized official
• Posh Dental Spa PLLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1295421394
  NPD (past)
• South Mountain Smiles PLLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1285572743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1124644612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958052",
            "telephone_number": "480-331-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 127",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958052",
            "telephone_number": "480-331-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "REVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Davis, PTA
• Wendy Davis, RN
• Wendy Nelson Davis, FNP
• Zachary Kelly Davis, DDS
• Dawn Strauss-Berta
• Celsey Jonah Marie Dawson
• Jessica Dawson, LPC
• Laurie A Dawson, M.D
• Rose Elizabeth Day, CD(DONA)
• Scott Day, DMD, MS

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.