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REVIVE DENTAL LIVONIA
NPI 1679464507
Dentist - General Practice in Livonia, MI

Active since July 10, 2025
31544 SCHOOLCRAFT RD, LIVONIA, MI 48150(248) 943-0907 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Dental Livonia NPPES

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

REVIVE DENTAL LIVONIA (NPI 1679464507) is a healthcare organization registered as a general practice in Livonia, Michigan and active in the NPI registry since July 2025. The organization lists Vincent Dawisha, Partner, as its authorized official.

NPPES Registry Identity

NPI1679464507
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREVIVE DENTAL LIVONIA
Location Address31544 SCHOOLCRAFT RDLivonia, MI 48150-1805
Mailing Address31544 Schoolcraft RdLivonia, MI 48150-1805
Phone(248) 943-0907
Organization SubpartNo
Authorized OfficialVincent DawishaPartner · (248) 444-3847
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1679464507 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.
31544 SCHOOLCRAFT RD, Livonia, MI 48150
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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

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.

RAYVEN SHEENA DDS
Dentist
31544 SCHOOLCRAFT RD
LIVONIA, MI 48150
Wayne County (248) 455-6388
DR. STEPHEN J. RIEDY D.D.S., M.S.
Dentist (Prosthodontics)
31544 SCHOOLCRAFT RD
LIVONIA, MI 48150
Wayne County (734) 427-6270

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 Livonia's NPI number?

The NPI number for Revive Dental Livonia is 1679464507. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Revive Dental Livonia located?

Revive Dental Livonia is located at 31544 Schoolcraft Rd, Livonia, MI 48150. The listed phone number is (248) 943-0907.

What is Revive Dental Livonia'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 Livonia was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.