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REVIVE DENTAL AESTHETICS LLC
NPI 1053251892
Dentist - General Practice in Indian Land, SC

Active since March 31, 2026
2220 DAISY LANE, SUITE D105, INDIAN LAND, SC 29707(803) 380-8018(803) 380-8003 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Dental Aesthetics Llc NPPES

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

REVIVE DENTAL AESTHETICS LLC (NPI 1053251892), doing business as Revive Dental Aesthetics, is a healthcare organization registered as a general practice in Indian Land, South Carolina and active in the NPI registry since March 2026. The organization lists Veronica Ge, Owner, as its authorized official.

NPPES Registry Identity

NPI1053251892
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVIVE DENTAL AESTHETICS LLC
Location Address2220 DAISY LANE, SUITE D105Indian Land, SC 29707
Mailing Address2999 Holbrook RdFort Mill, SC 29715-7034 · (803) 380-8018 · Fax (803) 380-8003
Phone(803) 380-8018
Fax(803) 380-8003
Organization SubpartNo
Authorized OfficialVeronica GeOwner · (803) 380-8018
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1053251892 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.
2220 DAISY LANE, Indian Land, SC 29707
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Other Names 1

Doing Business AsRevive Dental Aesthetics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

REVIVE DENTAL AESTHETICS LLC
Dentist (General Practice)
2220 DAISY LANE, SUITE D105
INDIAN LAND, SC 29707
Lancaster County (803) 380-8018

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 Dental Aesthetics LLC's NPI number?

The NPI number for Revive Dental Aesthetics LLC is 1053251892. It was assigned to this organization in the NPPES registry on March 31, 2026. The provider is doing business as Revive Dental Aesthetics.

Where is Revive Dental Aesthetics LLC located?

Revive Dental Aesthetics LLC is located at 2220 Daisy Lane Suite D105, Indian Land, SC 29707. The listed phone number is (803) 380-8018.

What is Revive Dental Aesthetics LLC'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 Revive Dental Aesthetics LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.