Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Palmetto Periodontics PA

Organization Periodontics · NPI 1316084197

Palmetto Periodontics PA is a Periodontics in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 E Butler Rd
Greenville, SC 29607-5908
Phone: (864) 987-9700
Fax: (864) 987-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3710 (SC)

Record details

NPI number1316084197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Ravenel — Owner · (864) 987-9700
Other names Palmetto Periodontics Pa
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1130 E Butler Rd, Greenville, SC 29607-5908

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