Revive Dentistry, PLLC
Revive Dentistry, PLLC is a Dental Clinic/Center in Orange City, Florida. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
272 E Graves AveOrange City, FL 32763-5269
Phone: (386) 775-4300
Fax: (386) 775-0630
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1023975547 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omid Khezri — Dentist · (765) 631-0659 |
| NPI enumerated | January 7, 2026 |
| Last updated in NPPES | January 7, 2026 |
| Certification date | January 6, 2026 |
| Mailing address | 272 E Graves Ave, Orange City, FL 32763-5269 |
Other providers in Orange City
-
Sunshine Dental of Orange City PA
2490 Enterprise Rd, Orange City, FL 32763 · (386) 775-9366