Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIV DENTAL, PLLC
NPI 1043110851
Dentist - General Practice in San Antonio, TX

Active since November 06, 2026
7231 BROADWAY STE B, SAN ANTONIO, TX 78209(210) 824-4581(210) 824-4585 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Reviv Dental, Pllc NPPES

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

REVIV DENTAL, PLLC (NPI 1043110851) is a healthcare organization registered as a general practice in San Antonio, Texas and active in the NPI registry since November 2026. The organization lists Crystal Villarreal, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043110851
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVIV DENTAL, PLLC
Location Address7231 BROADWAY STE BSan Antonio, TX 78209-3718
Mailing Address7231 Broadway Ste BSan Antonio, TX 78209-3718 · (210) 824-4581 · Fax (210) 824-4585
Fax(210) 824-4585
Organization SubpartNo
Authorized OfficialCrystal VillarrealDentist · (210) 824-4581
Enumeration DateNovember 6, 2026
NPPES CertifiedNovember 6, 2026
✔ NPI 1043110851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
7231 BROADWAY STE B, San Antonio, TX 78209

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Dental)
7231 BROADWAY STE B
SAN ANTONIO, TX 78209
Dentist
7231 BROADWAY STE B
SAN ANTONIO, TX 78209

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 Reviv Dental, PLLC's NPI number?

The NPI number for Reviv Dental, PLLC is 1043110851. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Reviv Dental, PLLC located?

Reviv Dental, PLLC is located at 7231 Broadway Ste B, San Antonio, TX 78209. The listed phone number is (210) 824-4581.

What is Reviv Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Reviv Dental, PLLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.