Griffin Revell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10208 Issued in SC

Practice address

271 S Pine St
Spartanburg, SC 29302-2626

Phone

(864) 585-5246

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spartanburg Family Dentistry

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1720496847
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649905993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022626",
            "telephone_number": "864-285-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022626",
            "telephone_number": "864-585-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "GRIFFIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Norman Rentz Sr., LMFT
• Kaitlin Elizabeth Resch, MS, ATC, LAT
• Kimberly Lynnette Restrepo
• Phillip Brent Reustle, PA-C
• Meredith Revan, RN
• Annie Dahena Rexha
• Gabriella Reyes, MD
• Jessica Leigh Reynolds, M.D.
• Savannah Jo Reynolds, D.D.S
• Stuart Frederick Reynolds, M.D.

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.