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Revive Dental Studio LLC

Revive Dental Studio LLC is a healthcare organization registered as General Practice Dentistry in Randolph, NJ, holding Type 2 (organization) NPI 1356071617 since 2022. The authorized official on file is Azadeh Dianat, Manager.

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NPI 1356071617
Entity type Organization (Type 2)
Legal business name Revive Dental Studio LLC
Practice address 10 W HANOVER AVE STE 101, Randolph, NJ, 07869
Phone 9738954333
Enumeration date 2022-06-10
Last updated in NPPES 2022-06-10

Authorized official

Name Azadeh Dianat
Title Manager
Phone 4045784423

Taxonomy & classification

Taxonomy code Specialty Primary License State
1223G0001X General Practice Dentistry Primary
Copy-ready billing details
Provider: Revive Dental Studio LLC
NPI: 1356071617
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 10 W HANOVER AVE STE 101, Randolph, NJ, 07869

Verify this record

Cross-check NPI 1356071617 against the authoritative CMS record: view Revive Dental Studio LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Revive Dental Studio LLC located?
The practice location on file with NPPES is in Randolph, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-10.