REVIVE PERIODONTICS AND IMPLANTS
NPI 1619722857
Clinic/Center - Dental in Burnsville, MN

Active since April 22, 2024
625 E NICOLLET BLVD STE 330, BURNSVILLE, MN 55337(952) 435-0333 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Periodontics And Implants NPPES

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

REVIVE PERIODONTICS AND IMPLANTS (NPI 1619722857) is a healthcare organization registered as a dental in Burnsville, Minnesota and active in the NPI registry since April 2024. The organization lists Andrew Glover, President, as its authorized official.

NPPES Registry Identity

NPI1619722857
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameREVIVE PERIODONTICS AND IMPLANTS
Location Address625 E NICOLLET BLVD STE 330Burnsville, MN 55337-6736
Mailing Address625 E Nicollet Blvd Ste 330Burnsville, MN 55337-6736
Organization SubpartNo
Authorized OfficialAndrew GloverPresident · (651) 334-2190
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1619722857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
625 E NICOLLET BLVD STE 330, Burnsville, MN 55337

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 Periodontics And Implants's NPI number?

The NPI number for Revive Periodontics And Implants is 1619722857. It was assigned to this organization in the NPPES registry on April 22, 2024.

Where is Revive Periodontics And Implants located?

Revive Periodontics And Implants is located at 625 E Nicollet Blvd Ste 330, Burnsville, MN 55337. The listed phone number is (952) 435-0333.

What is Revive Periodontics And Implants's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Revive Periodontics And Implants was last updated on April 22, 2024. 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.