Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revive Implant and Family Dental Center

Organization Dentist · NPI 1295559359

Revive Implant and Family Dental Center provides Dentist services in Gaithersburg, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

811 Russell Ave Ste C
Gaithersburg, MD 20879-3524
Phone: (703) 626-0460
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1295559359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameea Mahmud — Dentist · (703) 626-0460
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address811 Russell Ave Ste C, Gaithersburg, MD 20879-3524

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