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REVIVE DENTISTRY, PLLC
NPI 1023975547
Clinic/Center - Dental in Orange City, FL

Active since January 07, 2026
272 E GRAVES AVE, ORANGE CITY, FL 32763(386) 775-4300(386) 775-0630 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Dentistry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE DENTISTRY, PLLC (NPI 1023975547) is a healthcare organization registered as a dental in Orange City, Florida and active in the NPI registry since January 2026. The organization lists Omid Khezri, Dentist, as its authorized official.

NPPES Registry Identity

NPI1023975547
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameREVIVE DENTISTRY, PLLC
Location Address272 E GRAVES AVEOrange City, FL 32763-5269
Mailing Address272 E Graves AveOrange City, FL 32763-5269 · (386) 775-4300 · Fax (386) 775-0630
Phone(386) 775-4300
Fax(386) 775-0630
Organization SubpartNo
Authorized OfficialOmid KhezriDentist · (765) 631-0659
Enumeration DateJanuary 7, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1023975547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
272 E GRAVES AVE, Orange City, FL 32763
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES T. CROWTHER D.M.D.
Dentist (General Practice)
272 E GRAVES AVE
ORANGE CITY, FL 32763
Volusia County (386) 775-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Dentistry, PLLC's NPI number?

The NPI number for Revive Dentistry, PLLC is 1023975547. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Revive Dentistry, PLLC located?

Revive Dentistry, PLLC is located at 272 E Graves Ave, Orange City, FL 32763. The listed phone number is (386) 775-4300.

What is Revive Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Revive Dentistry, PLLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.