Organization · Type 2 NPI

Revive Dental Studio

Dental Clinic/Center · Fishers, IN

NPI number 1457263170 Active

Practice location

10990 Allisonville Rd
Fishers, IN 46038-2637

Call (317) 792-8333 Map

Fax (317) 792-8868

Mailing address

12044 Shady Knoll Dr
Fishers, IN 46037-8321

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1457263170

Revive Dental Studio's National Provider Identifier is 1457263170, issued on Sep 18, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fishers, IN. The record was last updated on Sep 23, 2026.