Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revere Dental PC

Organization General Practice Dentistry · NPI 1457637654

Revere Dental PC is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7265 Revere St
Philadelphia, PA 19149-1429
Phone: (215) 333-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS020825L (PA)

Record details

NPI number1457637654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parul Trivedi — Ceo · (215) 333-0707
Other names Revere Dental
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011
Mailing address7265 Revere St, Philadelphia, PA 19149-1429

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