Revive Periodontics and Implants
NPI 1619722857 · Dental Clinic/Center · Burnsville, MN
Revive Periodontics and Implants is a Dental Clinic/Center organization in Burnsville, MN (NPI 1619722857).
Provider details
- NPI number
- 1619722857
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Glover, President(651) 334-2190
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-04-22
- Certified
- 2024-04-22
Frequently asked questions
- What is Revive Periodontics and Implants's NPI number?
- Revive Periodontics and Implants's National Provider Identifier (NPI) is 1619722857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Periodontics and Implants?
- Revive Periodontics and Implants is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Periodontics and Implants located?
- Revive Periodontics and Implants's practice location on file with NPPES is 625 E Nicollet Blvd Ste 330, Burnsville, MN 55337-6736.
- What is Revive Periodontics and Implants's phone number?
- The practice phone number listed in the NPPES registry for Revive Periodontics and Implants is (952) 435-0333.
- Who is the authorized official for Revive Periodontics and Implants?
- The authorized official listed on Revive Periodontics and Implants's NPPES record is Andrew Glover, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Periodontics and Implants's NPI active?
- Yes — Revive Periodontics and Implants's NPI (1619722857) is active in the NPPES registry as of the last update on 2024-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.