Individual
MRS. SHANNON K REVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1811 CRAIN HWY S STE A, GLEN BURNIE, MD 21061-5561
(410) 760-4455
Mailing address
43 JONES FALLS TER, BALTIMORE, MD 21209-1684
(443) 622-9276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13800
MD
Other
Enumeration date
05/15/2013
Last updated
02/23/2026
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