OrganizationActive
Revive Dental Aesthetics LLC
NPI 1053251892 · General Practice Dentistry · Indian Land, SC
Revive Dental Aesthetics LLC is a General Practice Dentistry organization in Indian Land, SC (NPI 1053251892).
Provider details
- NPI number
- 1053251892
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Veronica Ge, Owner(803) 380-8018
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2220 Daisy Lane
Suite D105
Indian Land, SC 29707
Phone: (803) 380-8018
Fax: (803) 380-8003
Approximate (ZIP-level) locationGet directions
Mailing address
2999 Holbrook Rd
Fort Mill, SC 29715-7034
Other names (DBA / former)
- Doing business as
- Revive Dental Aesthetics
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-25
Frequently asked questions
- What is Revive Dental Aesthetics LLC's NPI number?
- Revive Dental Aesthetics LLC's National Provider Identifier (NPI) is 1053251892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Dental Aesthetics LLC?
- Revive Dental Aesthetics LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Revive Dental Aesthetics LLC located?
- Revive Dental Aesthetics LLC's practice location on file with NPPES is 2220 Daisy Lane, Indian Land, SC 29707.
- What is Revive Dental Aesthetics LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Dental Aesthetics LLC is (803) 380-8018.
- Who is the authorized official for Revive Dental Aesthetics LLC?
- The authorized official listed on Revive Dental Aesthetics LLC's NPPES record is Veronica Ge, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Dental Aesthetics LLC's NPI active?
- Yes — Revive Dental Aesthetics LLC's NPI (1053251892) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.