RAVENEL PERIODONTICS, PA
NPI 1013569771
Dentist - Periodontics in Greenville, SC

Active since July 12, 2019
1130 E BUTLER RD, GREENVILLE, SC 29607(864) 626-4777(864) 626-4779 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ravenel Periodontics, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVENEL PERIODONTICS, PA (NPI 1013569771) is a healthcare organization registered as a periodontics in Greenville, South Carolina and active in the NPI registry since July 2019. The organization lists Lisa Sherwood Ravenel, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1013569771
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameRAVENEL PERIODONTICS, PA
Location Address1130 E BUTLER RDGreenville, SC 29607-5908
Mailing AddressPo Box 938Mauldin, SC 29662-0938 · (864) 626-4777
Fax(864) 626-4779
Organization SubpartNo
Authorized OfficialLisa Sherwood RavenelOwner/dentist · (864) 626-4777
Enumeration DateJuly 12, 2019
NPI 1013569771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.
1130 E BUTLER RD, Greenville, SC 29607

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Dentist (Endodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravenel Periodontics, PA's NPI number?

The NPI number for Ravenel Periodontics, PA is 1013569771. It was assigned to this organization in the NPPES registry on July 12, 2019.

Where is Ravenel Periodontics, PA located?

Ravenel Periodontics, PA is located at 1130 E Butler Rd, Greenville, SC 29607. The listed phone number is (864) 626-4777.

What is Ravenel Periodontics, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Ravenel Periodontics, PA was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.