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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
34706 | TX | Dental Providers |
| Street Address |
3302 GASTON AVENUE, COLLEGE OF DENTISTRY, TEXAS A&M UNI ROOM 713 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| 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 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| 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 |
| 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 |
| Find all providers in DALLAS | ||||
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| 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.