REVITAL DENTAL PLLC
NPI 1437899812
Dentist - General Practice in Temple, TX

Q: What is Revital Dental PLLC's NPI number?

The NPI number for Revital Dental PLLC is 1437899812. It was assigned to this organization in the NPPES registry on April 1, 2022.

Q: What is Revital Dental PLLC's specialty?

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

Active since April 01, 2022

4311 S 31ST ST STE 145, TEMPLE, TX 76502(347) 631-0848 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Revital Dental Pllc NPPES

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

REVITAL DENTAL PLLC (NPI 1437899812) is a healthcare organization registered as a general practice in Temple, Texas and active in the NPI registry since April 2022. The organization lists Suman Kishore Kondragunta, Member, as its authorized official.

NPPES Registry Identity

NPI1437899812

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameREVITAL DENTAL PLLC

Location Address4311 S 31ST ST STE 145Temple, TX 76502-3346

Mailing Address4311 S 31st St Ste 145Temple, TX 76502-3346 · (347) 631-0848

Phone(347) 631-0848

Organization SubpartNo

Authorized OfficialSuman Kishore KondraguntaMember · (347) 631-0848

Enumeration DateApril 1, 2022

Last NPPES UpdateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1437899812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

4311 S 31ST ST STE 145, Temple, TX 76502

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Revital Dental PLLC's NPI number?

The NPI number for Revital Dental PLLC is 1437899812. It was assigned to this organization in the NPPES registry on April 1, 2022.

Where is Revital Dental PLLC located?

Revital Dental PLLC is located at 4311 S 31st St Ste 145, Temple, TX 76502. The listed phone number is (347) 631-0848.

What is Revital Dental PLLC's specialty?

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

What insurance does Revital Dental PLLC accept?

Health plans from UnitedHealthcare list Revital Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revital Dental PLLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.