Organization · Type 2 NPI
Revive Dentistry, PLLC
Dental Clinic/Center · Orange City, FL
NPI number
1023975547
Active
Practice location
272 E Graves Ave
Orange City, FL 32763-5269
Fax (386) 775-0630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Orange City
About NPI 1023975547
Revive Dentistry, PLLC's National Provider Identifier is 1023975547, issued on Jan 7, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Orange City, FL. The record was last updated on Jan 7, 2026.