MRS. MARTA REVILLA-LEON


Address: 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246
Phone: 2148288408

MRS. MARTA REVILLA-LEON (NPI# 1033683701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033683701
Entity Type Individual
Full Name MRS. MARTA REVILLA-LEON
Credential DDS, MSD
Practice Address 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni
Room 713
Dallas
TX 75246
Mailing Address 3302 Gaston Avenue, College Dentistry, Texas A&m Univer
Room 713
Dallas
TX 75246
Practice Telephone 2148288408
Mailing Telephone 2148288408
Enumeration Date 2019-01-16
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
34706 TX Dental Providers

Office Location

Street Address 3302 GASTON AVENUE, COLLEGE OF DENTISTRY, TEXAS A&M UNI
ROOM 713
City DALLAS
State TX
Zip Code 75246

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
1558784926 Dental Health Programs, Inc. Dentist 3910 Gaston Ave., Suite #175, Dallas, TX 75246 2014-01-21
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629627716 Mohammad Mehdi Imani Emadi Dentist 11970 N Central Expy # 430, Dallas, TX 75243 2019-09-10
1841795598 Andreina Cordido Enriquez Dentist 3302 Gaston Ave Rm 169, Dallas, TX 75246-2013 2018-03-26
1972021145 Catherine G Cagino Dentist 5018 Les Chateaux Dr, Dallas, TX 75235-8731 2017-09-07
1104371038 Brian Christopher Aguirre Dentist 5013 Vickery Blvd, Dallas, TX 75206-6222 2016-08-21
1659796696 Kathia Steel Dds Ms PC Dentist 8117 Preston Rd Ste 170, Dallas, TX 75225-6320 2014-02-27
1265717391 Mamoru Tanaka Dentist 6541 Shady Brook Ln Apt 2210, Dallas, TX 75206-9123 2011-10-20
1356576599 Elite Dental Associates - Dallas, P.C. Dentist 2410 Mckinney Ave, Dallas, TX 75201-1937 2009-05-18
1447497102 Michelle Newby Dentist 11661 Preston Rd Ste 104, Dallas, TX 75230-6196 2009-01-15
1083870281 Dimitrios Elias Kontogiorgos Dentist 8650 Southwestern Blvd, Apt#3407, Dallas, TX 75206-2611 2008-08-06
1629290267 David D Mcfadden Dentist 5120 W Lovers Ln, Dallas, TX 75209-3332 2007-05-03
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City DALLAS
Zip Code 75246

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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