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Revitalis LLC

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Scottsdale, AZ · enumerated 2025 · authorized official Nathan Jowett, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710788294

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Registry record

Entity type Organization (Type 2)
Legal business name Revitalis LLC
Practice address 7600 E Camelback Rd Ste 7, Scottsdale, AZ, 85251
Phone (480) 520-3223
Fax (480) 847-3223
Enumeration date Mar 21, 2025
Last updated in NPPES May 20, 2026

Taxonomy & classification

207YS0123X Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians Primary
207YX0905X Otolaryngology/Facial Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Nathan Jowett
Title Director
Phone (480) 520-3223

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.

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Frequently asked questions

What is the NPI number for Revitalis LLC?
The NPI for Revitalis LLC is 1710788294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revitalis LLC?
NPPES lists Nathan Jowett (Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-20.