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

Revive Implant and Family Dental Center

Organization Dentist · NPI 1295559359

Revive Implant and Family Dental Center is a Dentist in Gaithersburg, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

811 Russell Ave Ste C
Gaithersburg, MD 20879-3524
Phone: (703) 626-0460
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1295559359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameea Mahmud — Dentist · (703) 626-0460
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address811 Russell Ave Ste C, Gaithersburg, MD 20879-3524

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