Revive Dentistry, Pllc is a renowned Dental office in Orange City, Florida. It is located at 272 E Graves Ave, Orange City, FL and its contact number is 386-775-4300. The authorized person for Revive Dentistry, Pllc is Omid Khezri
who is Dentist of the place and their contact number is 765-631-0659.
Revive Dentistry, Pllc Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Revive Dentistry, Pllc Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Revive Dentistry, Pllc |
| Specialization: | Dentistry |
| Address: | 272 E Graves Ave, Orange City,
Florida, 32763-5269 |
| Phone: | 386-775-4300 |
| Fax: | 386-775-0630 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Omid Khezri |
| Position: | Dentist |
| Contact Number: | 765-631-0659 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Revive Dentistry, Pllc Office are as mentioned below.
| NPI Number: | 1023975547 |
| NPI Enumeration Date: | 07 Jan, 2026 |
| NPI Last Update On: | 07 Jan, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revive Dentistry, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Revive Dentistry, Pllc
272 E Graves Ave,
Orange City, Florida |
| Zip: | 32763-5269 |
| Phone Number: | 386-775-4300 |
| Fax Number: | 386-775-0630 |
Patients can reach Revive Dentistry, Pllc at
272 E Graves Ave, Orange City, Florida or can
call to book an appointment on 386-775-4300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.