Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609385368 Individual Practitioner Male Practitioner

Dr. Bradley David Revenis , DDS

Dentist • Fallon, NV

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Revenis, DDS is a registered healthcare professional specializing in Dentist in Fallon, NV. Practice services are available at BRANCH HEALTH CLINIC FALLON under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Branch Health Clinic Fallon
383 Churchill Ave

Fallon, NV 89406

Telephone 7754263164

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fallon, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Fallon, NV (886 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: 2026-07-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 9872

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 10, 2026

Registered at BRANCH HEALTH CLINIC FALLON, 383 CHURCHILL AVE, FALLON, NV 89406 (Tel: 7754263164)

📍
Updated Business Mailing Address July 10, 2026

Registered at NMRTU FALLON, 383 CHURCHILL AVE, FALLON, NV 89406 (Tel: 7754263164)

📍
Updated Practice Location July 24, 2024

Registered at NAVAL HEALTH CLINIC HAWAII, 480 CENTRAL AVENUE, PEARL HARBOR, HI 96860 (Tel: 8082573365)

📍
Updated Business Mailing Address July 24, 2024

Registered at 21ST DENTAL COMPANY, 3RD DENTAL BN, BLDG 6905, HARRIS AV, KANEOHE BAY, HI 96863

NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2017

Registered at 2470 SAMPSON STREET, GREAT LAKES, IL 60088 (Tel: 2404010930)

📍
Updated Business Mailing Address September 26, 2017

Registered at 4531 N ROCKWELL ST # 2, CHICAGO, IL 606253020

👤
Provider Name / Credentials Updated September 26, 2017

Recorded as BRADLEY REVENIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Dentist (License #9872 in AZ)

🟢
Initial NPI Registration & Enumeration September 26, 2017

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: 1609385368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2017
Last Update: July 10, 2026
Sole Proprietor: Yes

Mailing Address

Nmrtu Fallon, 383 Churchill Ave

Fallon, NV 89406

Phone: 7754263164

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.