Organization · Type 2 NPI

Revive Dental Aesthetics LLC

General Practice Dentistry · Indian Land, SC

NPI number 1376483917 Active

Practice location

2220 Daisy Lane, Suite D105
Indian Land, SC 29707

Call (803) 380-8018 Map

Fax (803) 380-8003

Mailing address

2999 Holbrook Rd
Fort Mill, SC 29715-7034

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.

2 other providers at this address

Other general practice dentistry providers in Indian Land

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About NPI 1376483917

Revive Dental Aesthetics LLC's National Provider Identifier is 1376483917, issued on Apr 1, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indian Land, SC. The record was last updated on Apr 1, 2026.