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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
Where is Revive Dental Studio LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-10.