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

Ravenel Periodontics, PA

Organization Periodontics · NPI 1013569771

Ravenel Periodontics, PA is a Periodontics in Greenville, South Carolina. Registered with an NPI since 2019.

In the registry since
2019
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) 626-4777
Fax: (864) 626-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1013569771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Ravenel — Owner/Dentist · (864) 626-4777
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 12, 2019
Mailing addressPo Box 938, Mauldin, SC 29662-0938

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