REVITAL DENTAL PLLC – General Practice Dentistry, NPI 1437899812

REVITAL DENTAL PLLC is a healthcare provider. based in Temple, Texas. specializing in General Practice Dentistry. The NPI Number for REVITAL DENTAL PLLC is 1437899812

Main info

Organization
Name
REVITAL DENTAL PLLC
NPI
1437899812
Phone
(347) 631-0848
Address
4311 S 31ST ST STE 145
Authorized Official
SUMAN KISHORE KONDRAGUNTA MEMBER DDS
Enumeration Date
1 April 2022
Last Update Date
14 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for REVITAL DENTAL PLLC

  • 4311 S 31ST ST STE 145

    TEMPLE, TX 765023346

    Phone: (347) 631-0848

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76502)

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Frequently asked questions

Can I verify REVITAL DENTAL PLLC with an NPI only?
You can start verification with NPI 1437899812 for REVITAL DENTAL PLLC, then check state licensing separately.
Can I rely on REVITAL DENTAL PLLC being an active provider?
As of the registry snapshot, REVITAL DENTAL PLLC is marked active.
What is REVITAL DENTAL PLLC's primary classification?
General Practice Dentistry is the headline specialty for REVITAL DENTAL PLLC here. Clinical services aligned with this taxonomy classification.
What address line appears for REVITAL DENTAL PLLC?
REVITAL DENTAL PLLC's geographic hint is Temple, Texas in our summary view.
Is the information about REVITAL DENTAL PLLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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