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REVIVAL DENTISTRY LLC
NPI 1487294351
Dentist in Palos Heights, IL

Active since January 08, 2020
7132 W 127TH ST, PALOS HEIGHTS, IL 60463(309) 207-0112 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revival Dentistry Llc NPPES

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

REVIVAL DENTISTRY LLC (NPI 1487294351), doing business as Palos Family Dental, is a healthcare organization registered as a dentist in Palos Heights, Illinois and active in the NPI registry since January 2020. The organization lists Zachary Young, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1487294351
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameREVIVAL DENTISTRY LLC
Location Address7132 W 127TH STPalos Heights, IL 60463-1560
Mailing Address7132 W 127th StPalos Heights, IL 60463-1560
Phone(309) 207-0112
Organization SubpartNo
Authorized OfficialZachary YoungDentist/owner · (309) 207-0112
Enumeration DateJanuary 8, 2020
✔ NPI 1487294351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
7132 W 127TH ST, Palos Heights, IL 60463
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Other Names 1

Doing Business AsPalos Family Dental

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 2

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

PALOS FAMILY DENTAL LLC
Dentist (General Practice)
7132 W 127TH ST
PALOS HEIGHTS, IL 60463
Cook County (708) 448-4161
DR. PHILIP H. COLLINS DDS
Dentist (General Practice)
7132 W 127TH ST
PALOS HEIGHTS, IL 60463
Cook County (708) 448-4161

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 Revival Dentistry LLC's NPI number?

The NPI number for Revival Dentistry LLC is 1487294351. It was assigned to this organization in the NPPES registry on January 8, 2020. The provider is doing business as Palos Family Dental.

Where is Revival Dentistry LLC located?

Revival Dentistry LLC is located at 7132 W 127th St, Palos Heights, IL 60463. The listed phone number is (309) 207-0112.

What is Revival Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Revival Dentistry LLC was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.