1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Dentist
  6. NPI Profile

DR. RICHARD T. PROVINE D.M.D
NPI 1811074735
Dentist - General Practice in Spartanburg, SC

Active since November 01, 2006
1111 W O EZELL BLVD, STE.A, SPARTANBURG, SC 29301(864) 576-0943(864) 576-7989 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard T. Provine D.m.d NPPES

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

DR. RICHARD T. PROVINE D.M.D (NPI 1811074735) is an individual general practice provider in Spartanburg, South Carolina, licensed in South Carolina (1821) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1811074735
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD T. PROVINECredential: D.M.D
Location Address1111 W O EZELL BLVD, STE.ASpartanburg, SC 29301-1655
Mailing Address108 Amber DrInman, SC 29349-9568 · (864) 472-5708
Phone(864) 576-0943
Fax(864) 576-7989
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1811074735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 1821
Definition
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.
1111 W O EZELL BLVD, Spartanburg, SC 29301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

DR. CHARLES S. BEBKO D.M.D.
Dentist (General Practice)
1111 W O EZELL BLVD, STE. B
SPARTANBURG, SC 29301
Spartanburg County (864) 576-0947
CHARLES S BEBKO DMD PC
Dentist
1111 W O EZELL BLVD
SPARTANBURG, SC 29301
Spartanburg County (864) 576-0947
JARED EARL D.M.D.
Dentist
1111 W O EZELL BLVD
SPARTANBURG, SC 29301
Spartanburg County (864) 576-0947

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 Richard Provine's NPI number?

The NPI number for Richard Provine is 1811074735. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Richard Provine located?

Richard Provine practices at 1111 W O Ezell Blvd Ste.A, Spartanburg, SC 29301. The listed phone number is (864) 576-0943.

What is Richard Provine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Richard Provine was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.