Revive Periodontics and Implants
Revive Periodontics and Implants is a Dental Clinic/Center in Burnsville, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
625 E Nicollet Blvd Ste 330Burnsville, MN 55337-6736
Phone: (952) 435-0333
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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 | 1619722857 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Glover — President · (651) 334-2190 |
| NPI enumerated | April 22, 2024 |
| Last updated in NPPES | April 22, 2024 |
| Certification date | April 22, 2024 |
| Mailing address | 625 E Nicollet Blvd Ste 330, Burnsville, MN 55337-6736 |
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