Organization · Type 2 NPI

Revive Dental Studio LLC

General Practice Dentistry · Randolph, NJ

NPI number 1356071617 Active

Practice location

10 W Hanover Ave Ste 101
Randolph, NJ 07869-4221

Mailing address

178 N 11th St Apt 7D
Brooklyn, NY 11211-1134

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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.

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About NPI 1356071617

Revive Dental Studio LLC's National Provider Identifier is 1356071617, issued on Jun 10, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Randolph, NJ. The record was last updated on Jun 10, 2022.