Individual provider · Type 1 NPI

Richard T. Provine, D.M.D

General Practice Dentistry · Spartanburg, SC

NPI number 1811074735 Active

Practice location

1111 W O Ezell Blvd, Ste.a
Spartanburg, SC 29301-1655

Call (864) 576-0943 Map

Fax (864) 576-7989

Mailing address

108 Amber Dr
Inman, SC 29349-9568

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	1821 (SC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1811074735

Richard T. Provine, D.M.D's National Provider Identifier is 1811074735, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Spartanburg, SC. The record was last updated on May 7, 2008.