DR. LISA S RAVENEL DMD, MHS
NPI 1891703419
Dentist - Periodontics in Greenville, SC

Active since August 03, 2006
1130 E BUTLER RD, GREENVILLE, SC 29607(864) 987-9700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa S Ravenel Dmd, Mhs NPPES

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

DR. LISA S RAVENEL DMD, MHS (NPI 1891703419) is an individual periodontics provider in Greenville, South Carolina, licensed in South Carolina (3710) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1891703419
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. LISA S RAVENELCredential: DMD, MHS
Location Address1130 E BUTLER RDGreenville, SC 29607-5908
Mailing Address1130 E Butler RdGreenville, SC 29607-5908 · (864) 987-9700
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1891703419 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

Other Names 1

Other Name (5)Dr. Bryan E Green Dmd, Mds

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 Lisa Ravenel's NPI number?

The NPI number for Lisa Ravenel is 1891703419. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Dr. Bryan E Green Dmd, Mds.

Where is Lisa Ravenel located?

Lisa Ravenel practices at 1130 E Butler Rd, Greenville, SC 29607. The listed phone number is (864) 987-9700.

What is Lisa Ravenel'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 Lisa Ravenel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.