| Smile Revival Llc | |
|
178 Mini Mall Dr Berea KY 40403-1170 | |
| (859) 231-0596 | |
| Not Available |
| Full Name | Smile Revival Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 178 Mini Mall Dr, Berea, Kentucky |
| Authorized Official Name and Position | Andrew White (SOLE MANAGER) |
| Authorized Official Contact | 8598108320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Revival Llc 105 Spruce St Lexington KY 40507-2109 Ph: (859) 231-0596 | Smile Revival Llc 178 Mini Mall Dr Berea KY 40403-1170 Ph: (859) 231-0596 |
| NPI Number | 1982561718 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 04/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982561718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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