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

Revitalis LLC

Organization Facial Plastic Surgery Physician · NPI 1710788294

Revitalis LLC is a Facial Plastic Surgery Physician in Scottsdale, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7600 E Camelback Rd Ste 7
Scottsdale, AZ 85251-2106
Phone: (480) 520-3223
Fax: (480) 847-3223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X

Record details

NPI number1710788294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Jowett — Director · (480) 520-3223
NPI enumeratedMarch 21, 2025
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address7600 E Camelback Rd Ste 7, Scottsdale, AZ 85251-2106

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