Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revere Dental PC

Organization General Practice Dentistry · NPI 1457637654

Revere Dental PC provides General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7265 Revere St
Philadelphia, PA 19149-1429 Not confirmed with CMS for 14 years — call before visiting
Phone: (215) 333-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS020825L (PA)

Record details

NPI number1457637654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Parul Trivedi — Ceo · (215) 333-0707
Other names Revere Dental
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011
Mailing address7265 Revere St, Philadelphia, PA 19149-1429

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