| Revive Dentistry LLC | |
|
2752 Forgue Dr Ste 118 Naperville IL 60564-4161 | |
| (630) 420-2465 | |
| Not Available |
| Full Name | Revive Dentistry LLC |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2752 Forgue Dr Ste 118, Naperville, Illinois |
| Authorized Official Name and Position | Alan Alfield (OWNER/DENTIST) |
| Authorized Official Contact | 3319038887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Dentistry LLC 2752 Forgue Dr Ste 118 Naperville IL 60564-4161 Ph: (630) 420-2465 | Revive Dentistry LLC 2752 Forgue Dr Ste 118 Naperville IL 60564-4161 Ph: (630) 420-2465 |
| NPI Number | 1174491229 |
|---|---|
| Provider Enumeration Date | 10/29/2025 |
| Last Update Date | 10/29/2025 |
| Certification Date | 10/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174491229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | () | Primary |
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