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

Revive Dental Studio LLC

Organization General Practice Dentistry · NPI 1356071617

Revive Dental Studio LLC is a General Practice Dentistry in Randolph, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
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

10 W Hanover Ave Ste 101
Randolph, NJ 07869-4221
Phone: (973) 895-4333
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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

Record details

NPI number1356071617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azadeh Dianat — Manager · (404) 578-4423
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 10, 2022
Mailing address178 N 11th St Apt 7d, Brooklyn, NY 11211-1134

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