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REVIVE DENTAL STUDIO LLC
NPI 1356071617
Dentist - General Practice in Randolph, NJ

Active since June 10, 2022
10 W HANOVER AVE STE 101, RANDOLPH, NJ 07869(973) 895-4333 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Dental Studio Llc NPPES

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

REVIVE DENTAL STUDIO LLC (NPI 1356071617) is a healthcare organization registered as a general practice in Randolph, New Jersey and active in the NPI registry since June 2022. The organization lists Azadeh May Dianat, Manager, as its authorized official.

NPPES Registry Identity

NPI1356071617
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVIVE DENTAL STUDIO LLC
Location Address10 W HANOVER AVE STE 101Randolph, NJ 07869-4221
Mailing Address178 N 11th St Apt 7dBrooklyn, NY 11211-1134 · (404) 578-4423
Phone(973) 895-4333
Organization SubpartNo
Authorized OfficialAzadeh May DianatManager · (404) 578-4423
Enumeration DateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1356071617 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.
10 W HANOVER AVE STE 101, Randolph, NJ 07869
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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 Studio LLC's NPI number?

The NPI number for Revive Dental Studio LLC is 1356071617. It was assigned to this organization in the NPPES registry on June 10, 2022.

Where is Revive Dental Studio LLC located?

Revive Dental Studio LLC is located at 10 W Hanover Ave Ste 101, Randolph, NJ 07869. The listed phone number is (973) 895-4333.

What is Revive Dental Studio 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 Studio LLC was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.