OrganizationActive
Revive Dental Studio LLC
NPI 1356071617 · General Practice Dentistry · Randolph, NJ
Revive Dental Studio LLC is a General Practice Dentistry organization in Randolph, NJ (NPI 1356071617).
Provider details
- NPI number
- 1356071617
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Azadeh Dianat, Manager(404) 578-4423
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
10 W Hanover Ave Ste 101
Randolph, NJ 07869-4221
Phone: (973) 895-4333
Street-level locationGet directions
Mailing address
178 N 11th St Apt 7d
Brooklyn, NY 11211-1134
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Frequently asked questions
- What is Revive Dental Studio LLC's NPI number?
- Revive Dental Studio LLC's National Provider Identifier (NPI) is 1356071617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Dental Studio LLC?
- Revive Dental Studio LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Revive Dental Studio LLC located?
- Revive Dental Studio LLC's practice location on file with NPPES is 10 W Hanover Ave Ste 101, Randolph, NJ 07869-4221.
- What is Revive Dental Studio LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Dental Studio LLC is (973) 895-4333.
- Who is the authorized official for Revive Dental Studio LLC?
- The authorized official listed on Revive Dental Studio LLC's NPPES record is Azadeh Dianat, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Dental Studio LLC's NPI active?
- Yes — Revive Dental Studio LLC's NPI (1356071617) is active in the NPPES registry as of the last update on 2022-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.