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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None 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.