Revive, DDS, LLC

General Practice Dentistry · Chevy Chase, MD

Organization Active NPI

NPI number 1336894708

Practice location

4601 N Park Ave # C7
Chevy Chase, MD 20815-4519
Phone
(301) 664-9596

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NPI record

NPI
1336894708
Entity type
Organization (Type 2)
Enumeration date
February 15, 2022
Last updated
February 15, 2022
Certified
February 15, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Caroline Reed
Title
Consultant
Phone
(443) 285-3385

Other names

  • Vive Dental Day Spa

About Revive, DDS, LLC

Revive, DDS, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4601 N Park Ave # C7, Chevy Chase, MD 20815-4519. The NPI number 1336894708 was assigned on February 15, 2022 and the record was last updated on February 15, 2022.

The authorized official for this organization is Caroline Reed, Consultant.

Frequently asked questions

What is the NPI number of Revive, DDS, LLC?

The NPI number is 1336894708.

What is the phone number of Revive, DDS, LLC?

The phone number listed for the practice location is (301) 664-9596.

Where is Revive, DDS, LLC located?

4601 N Park Ave # C7, Chevy Chase, MD 20815-4519.

What is the taxonomy code for Revive, DDS, LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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