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

Revive Dental Aesthetics LLC

Organization General Practice Dentistry · NPI 1053251892

Revive Dental Aesthetics LLC is a General Practice Dentistry in Indian Land, South Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2220 Daisy Ln Ste D105
Indian Land, SC 29707
Phone: (803) 380-8018
Fax: (803) 380-8003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1053251892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Ge — Owner · (803) 380-8018
Other names Revive Dental Aesthetics
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 25, 2026
Mailing address2999 Holbrook Rd, Fort Mill, SC 29715-7034

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