Organization · Type 2 NPI

Ravenel Periodontics, PA

Periodontics · Greenville, SC

NPI number 1013569771 Active

Practice location

1130 E Butler Rd
Greenville, SC 29607-5908

Call (864) 626-4777 Map

Fax (864) 626-4779

Mailing address

PO Box 938
Mauldin, SC 29662-0938

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6 other providers at this address

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About NPI 1013569771

Ravenel Periodontics, PA's National Provider Identifier is 1013569771, issued on Jul 12, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Greenville, SC. The record was last updated on Jul 12, 2019.