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Contact Information

RAVENEL ENDODONTICS
1130 E BUTLER RD
GREENVILLE, SC29607-5908
 Phone: 864-987-7030
 Fax: 864-987-0198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for RAVENEL ENDODONTICS

NPI # 1992842868
LBN Legal business name RAVENEL ENDODONTICS
Authorized official THEODORE RAVENEL - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 3711
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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