Jessica Russo Revand, DMD, Ms, PLLC
NPI 1669060364ActiveOrganization· Dentist, Endodontics· Burke, VA
Dentist, Endodontics in Burke, Virginia, registered in NPPES in January 2021. The authorized official on file is Jessica Russo Revand, DMD, MS, Owner/Endodontist.
Overview
| NPI | 1669060364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2021 |
| Last updated in NPPES | Jan 7, 2021 |
| Certified by provider | Jan 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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