Revive Dental Solutions PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REVIVE DENTAL SOLUTIONS PLLC

Practice address

2775 Winnetka Ave N
New Hope, MN 55427-2830

Phone

(763) 545-3010

Fax

(763) 595-0543

NPI assigned

Oct 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth K Laabs, DDSNPI 1811340409

Title

Dentist

Phone

(763) 545-3010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth K Laabs, D.D.S.

  • Dentist
  • New Hope, MN
  • NPI 1811340409
  NPD Authorized official
• Debbie L. Amundson, DDS

  • General Practice Dentistry
  • New Hope, MN
  • NPI 1376593772
  NPD (past)

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1750109351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272830",
            "telephone_number": "763-545-3010",
            "fax_number": "763-595-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272830",
            "telephone_number": "763-545-3010",
            "fax_number": "763-595-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE DENTAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "LAABS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-545-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in New Hope, MN
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.