Ravenel Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3711 Issued in SC

Legal business name

RAVENEL ENDODONTICS

Practice address

1130 E Butler Rd
Greenville, SC 29607-5908

Phone

(864) 987-7030

Fax

(864) 987-0198

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Theodore D Ravenel, D.M.D.

Title

Doctor

Phone

(864) 987-7030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992842868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075908",
            "telephone_number": "864-987-7030",
            "fax_number": "864-987-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075908",
            "telephone_number": "864-987-7030",
            "fax_number": "864-987-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENEL ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVENEL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-987-7030",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Lynn Ratliff
• Lizzie Calk Ratner, AGACNP
• James G Rau, MD
• Haseeb Ali Rauf, DMD
• Robert Austin Raunikar, M.D.
• Ravenel Periodontics, PA
• Lisa S Ravenel, DMD, MHS
• Trina Nicole Ravenell, PA-C
• Amy Ruth Ravenscraft, NP
• Pinjai Ramadas Ravichander, M.D.

• Endodontics in Greenville, SC
• Providers in Greenville, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.