Reviv Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REVIV DENTAL, PLLC

Doing business as

Alamo Heights Family Dentistry

Practice address

7231 Broadway Ste B
San Antonio, TX 78209-3718

Phone

(210) 824-4581

Fax

(210) 824-4585

NPI assigned

Nov 6, 2026

Last updated

Nov 6, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal Villarreal, DDS

Title

Dentist

Phone

(210) 824-4581

Specialties & licenses 1

Addresses

Other names 1

• Alamo Heights Family Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793923200000",
    "number": "1043110851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 BROADWAY STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093718",
            "telephone_number": "210-824-4581",
            "fax_number": "210-824-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 BROADWAY STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093718",
            "telephone_number": "210-824-4581",
            "fax_number": "210-824-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIV DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "210-824-4581",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Heights Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imelda Ramirez Reveron, MA, CLINICIAN
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• Danya Yrais Revilla, CCC-SLP
• Revise Wellness Services
• Revitalizing Minds Therapy Solutions
• Revival Performance Physical Therapy
• Revival Performance Physical Therapy Alamo Ranch
• Revived Beauty LLC (Her Power Rx Health Solutions)
• Revolution Mental Health Counseling, PLLC
• Revolution Physical Therapy & Wellness

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.