Revere Health LLC

NPI #1811789035 in Manhattan, Kansas

Provider Information

NPI Number: 1811789035
Entity Type: Organization
Organization Name: Revere Health LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2025
Last Updated: May 22, 2025

Practice Location

Address: 204 TUTTLE CREEK BLVD STE 110
City: Manhattan
State: Kansas
ZIP Code: 66502-6606
Phone: (785) 560-6078

Authorized Official

Name: CHRISTINE BARBER
Title: PROVIDER ENROLLMENT MANAGER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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