Theodore D Ravenel in Greenville - Endodontics
Theodore D Ravenel - NPI 1013070879
Theodore D Ravenel is a Endodontics in Greenville, South Carolina. Theodore D Ravenel practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Theodore D Ravenel is 1013070879. The last update date is 2018-03-17.
Theodore D Ravenel's current location address is 1130 E Butler Rd, Greenville, South Carolina. You can contact this provider via phone number 8649877030 and fax number 8649870198. The mailing address for Theodore D Ravenel is 1130 E Butler Rd, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore D Ravenel |
|---|---|
| Address | 1130 E Butler Rd, Greenville, South Carolina |
| Phone Number | 8649877030 |
| Fax Number | 8649870198 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1013070879 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1130 E Butler Rd |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296075908 |
| Phone Number | 8649877030 |
| Fax Number | 8649870198 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 3711 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Theodore D Ravenel by the Centers for Medicare & Medicaid Services?
The Theodore D Ravenel has been issued the NPI (National Provider Identifier) 1013070879. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Theodore D Ravenel's facilities are geographically located?
The facilities of Theodore D Ravenel are physically situated at the following location: 1130 E Butler Rd, Greenville, SC, 296075908.
What is the area of specialization for Theodore D Ravenel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theodore D Ravenel is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013070879 to Theodore D Ravenel?
The Centers for Medicare & Medicaid Services originally issued the 1013070879 to Theodore D Ravenel on 2006-12-19.
As of what date were the details related to Theodore D Ravenel most recently updated or revised?
The information pertaining to Theodore D Ravenel, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-17.