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SMILE REVIVAL LLC
NPI 1982561718
Dentist - General Practice in Berea, KY

Active since January 05, 2026
178 MINI MALL DR, BEREA, KY 40403(859) 231-0596 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Apr 7, 2026, Jan 5, 2026 (3 updates tracked since 2026).

About Smile Revival Llc NPPES

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

SMILE REVIVAL LLC (NPI 1982561718) is a healthcare organization registered as a general practice in Berea, Kentucky and active in the NPI registry since January 2026. The organization lists Andrew White, Sole Manager, as its authorized official.

NPPES Registry Identity

NPI1982561718
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE REVIVAL LLC
Location Address178 MINI MALL DRBerea, KY 40403-1170
Mailing Address105 Spruce StLexington, KY 40507-2109 · (859) 231-0596
Phone(859) 231-0596
Organization SubpartNo
Authorized OfficialAndrew WhiteSole Manager · (859) 810-8320
Enumeration DateJanuary 5, 2026
Last NPPES UpdateApril 13, 20263 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1982561718 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.

178 MINI MALL DR, Berea, KY 40403
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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 Smile Revival LLC's NPI number?

The NPI number for Smile Revival LLC is 1982561718. It was assigned to this organization in the NPPES registry on January 5, 2026.

Where is Smile Revival LLC located?

Smile Revival LLC is located at 178 Mini Mall Dr, Berea, KY 40403. The listed phone number is (859) 231-0596.

What is Smile Revival 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 Smile Revival LLC was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.