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

Revital Dental PLLC

Organization General Practice Dentistry · NPI 1437899812

Revital Dental PLLC is a General Practice Dentistry in Temple, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4311 S 31st St Ste 145
Temple, TX 76502-3346
Phone: (347) 631-0848
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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
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1437899812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suman Kondragunta — Member · (347) 631-0848
NPI enumeratedApril 1, 2022
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address4311 S 31st St Ste 145, Temple, TX 76502-3346

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