OrganizationActive
Revival Dentistry LLC
NPI 1487294351 · Dentist · Palos Heights, IL
Revival Dentistry LLC is a Dentist organization in Palos Heights, IL (NPI 1487294351).
Provider details
- NPI number
- 1487294351
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Zachary Young, Dentist/Owner(309) 207-0112
Practice location
7132 W 127th St
Palos Heights, IL 60463-1560
Phone: (309) 207-0112
Street-level locationGet directions
Mailing address
7132 W 127th St
Palos Heights, IL 60463-1560
Registry dates
- Enumerated
- 2020-01-08
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.