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PALMETTO PERIODONTICS PA
NPI 1316084197
Dentist - Periodontics in Greenville, SC

Active since January 31, 2007
1130 E BUTLER RD, GREENVILLE, SC 29607(864) 987-9700(864) 987-0198 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palmetto Periodontics Pa NPPES

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

PALMETTO PERIODONTICS PA (NPI 1316084197) is a healthcare organization registered as a periodontics in Greenville, South Carolina and active in the NPI registry since January 2007. The organization lists Lisa S Ravenel, Owner, as its authorized official.

NPPES Registry Identity

NPI1316084197
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePALMETTO PERIODONTICS PA
Location Address1130 E BUTLER RDGreenville, SC 29607-5908
Mailing Address1130 E Butler RdGreenville, SC 29607-5908 · (864) 987-9700 · Fax (864) 987-0198
Phone(864) 987-9700
Fax(864) 987-0198
Organization SubpartNo
Authorized OfficialLisa S RavenelOwner · (864) 987-9700
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316084197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 3710
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
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Other Names 1

Doing Business AsPalmetto Periodontics Pa

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.

RAVENEL PERIODONTICS, PA
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 626-4777
PALMETTO PERIODONTICS OF GREENVILLE PA
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 987-9700
DR. WILLIAM F BOHLEN DMD
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 987-9700
PERIODONTICS OF GREENVILLE
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 987-9700
DR. LISA S RAVENEL DMD, MHS
Dentist (Periodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 987-9700
RAVENEL ENDODONTICS
Dentist (Endodontics)
1130 E BUTLER RD
GREENVILLE, SC 29607
Greenville County (864) 987-7030

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 Palmetto Periodontics PA's NPI number?

The NPI number for Palmetto Periodontics PA is 1316084197. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Palmetto Periodontics PA located?

Palmetto Periodontics PA is located at 1130 E Butler Rd, Greenville, SC 29607. The listed phone number is (864) 987-9700.

What is Palmetto 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 Palmetto Periodontics PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.