# EMERGIDENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revive Cosmetic Dentistry PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578251930
- **Authorized official:** DR. MALAIKA S. THOMAS DDS (CEO)
- **Authorized official phone:** (469) 914-0003

## Contact information

- **Practice address:** 670 W ARAPAHO RD STE 3, RICHARDSON, TX 75080-4213
- **Practice address phone:** (469) 914-0003
- **Practice address fax:** (800) 304-9440
- **Mailing address:** 670 W ARAPAHO RD STE 3, RICHARDSON, TX 75080-4213
- **Mailing address phone:** (469) 914-0003
- **Mailing address fax:** (800) 304-9440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 01/05/2024
