REVIVE PERIODONTICS AND IMPLANTS is a dental clinic center in Burnsville, MN. REVIVE PERIODONTICS AND IMPLANTS NPI is 1619722857. The provider is registered as an organization entity type.
The provider's business location address is:
625 E NICOLLET BLVD STE 330 BURNSVILLE, MN ZIP 55337-736 Phone: (952) 435-0333
The provider's authorized official is Andrew Glover . The authorized official title is President and has the following contact phone number (651) 334-2190.
The enumeration date for this NPI number is 4/22/2024 and was last updated on 4/22/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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