REVIVE DENTAL, PA
NPI 1184024887
Dentist - General Practice in Irving, TX

Q: What is Revive Dental, PA's NPI number?

The NPI number for Revive Dental, PA is 1184024887. It was assigned to this organization in the NPPES registry on August 29, 2014.

Q: What is Revive Dental, PA's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Revive Dental, PA was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since August 29, 2014

3879 IRVING MALL, K-2A, IRVING, TX 75062(214) 574-4867(469) 417-0802 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revive Dental, Pa NPPES

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

REVIVE DENTAL, PA (NPI 1184024887) is a healthcare organization registered as a general practice in Irving, Texas and active in the NPI registry since August 2014. The organization lists Yong Ho Cho, President, as its authorized official.

NPPES Registry Identity

NPI1184024887

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameREVIVE DENTAL, PA

Location Address3879 IRVING MALL, K-2AIrving, TX 75062-5159

Mailing Address2728 Mckinnon St, Apt 1517Dallas, TX 75201-1602 · (415) 971-4727

Phone(214) 574-4867

Fax(469) 417-0802

Organization SubpartNo

Authorized OfficialYong Ho ChoPresident · (415) 971-4727

Enumeration DateAugust 29, 2014

✔ NPI 1184024887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 27280

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.

3879 IRVING MALL, Irving, TX 75062

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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

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, PA's NPI number?

The NPI number for Revive Dental, PA is 1184024887. It was assigned to this organization in the NPPES registry on August 29, 2014.

Where is Revive Dental, PA located?

Revive Dental, PA is located at 3879 Irving Mall K-2a, Irving, TX 75062. The listed phone number is (214) 574-4867.

What is Revive Dental, PA'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, PA was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.