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

Revive Dental Aesthetics LLC

Organization General Practice Dentistry · NPI 1053251892

Revive Dental Aesthetics LLC provides General Practice Dentistry in Indian Land, South Carolina. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2220 Daisy Ln Ste D105
Indian Land, SC 29707
Phone: (803) 380-8018
Fax: (803) 380-8003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1053251892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Ge — Owner · (803) 380-8018
Other names Revive Dental Aesthetics
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 25, 2026
Mailing address2999 Holbrook Rd, Fort Mill, SC 29715-7034

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