Revive Dentistry, Pllc
Clinic/Center - Dental
About Revive Dentistry, Pllc
Revive Dentistry, Pllc is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1023975547.
The authorized official for Revive Dentistry, Pllc is OMID KHEZRI. The organization is headquartered at 272 E GRAVES AVE, Orange City, Florida 32763. The main office can be reached at (386) 775-4300. Revive Dentistry, Pllc has been NPI-registered since 2026.
Locations & Contact
Primary Location
- Address
- 272 E GRAVES AVE
- City
- Orange City
- State
- Florida
- ZIP
- 32763-5269
- Phone
- (386) 775-4300
- Fax
- (386) 775-0630
Authorized Official
- Name
- OMID KHEZRI
Mailing Address
- Address
- 272 E GRAVES AVE
- City
- ORANGE CITY
- State
- FL
- ZIP
- 327635269
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinic/Center - Dental
- Classification
- Clinic/Center
- Specialization
- Dental
- Taxonomy Code
- 261QD0000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Revive Dentistry, Pllc's NPI number?
What does Revive Dentistry, Pllc specialize in?
Where is Revive Dentistry, Pllc located?
Does Revive Dentistry, Pllc accept Medicare?
Does Revive Dentistry, Pllc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Revive Dentistry, Pllc holds NPI 1023975547, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.