Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669088381 Individual Practitioner Male Practitioner

Dr. Luke William Revelt , DMD

Dentist - General Practice • Alton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Luke Revelt, DMD is a registered healthcare professional specializing in Dentist - General Practice in Alton, IL. Practice services are available at 2800 COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 College Ave

Alton, IL 620024742

Telephone 6184747000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Alton, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019032795

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013585421
Dr. Lucas Winebaugh , DMD

Dentist - General Practice

NPI 1023677218

Doctor of Dental Medicine

NPI 1033354956

Doctor of Dental Medicine

NPI 1093499246
Dr. Eric Kubacki , DMD

Dentist - General Practice

NPI 1114702743

Doctor of Dental Medicine

NPI 1144591215

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2020

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747000)

📍
Updated Business Mailing Address September 17, 2020

Registered at 4 AZALEA CT, EDWARDSVILLE, IL 620253999

👤
Provider Name / Credentials Updated September 17, 2020

Recorded as LUKE REVELT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2020

Dentist (License #019032795 in IL)

🟢
Initial NPI Registration & Enumeration September 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669088381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2020
Last Update: September 17, 2020
Sole Proprietor: Yes

Mailing Address

4 Azalea Ct

Edwardsville, IL 620253999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.