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

Dr. Theodore D Ravenel V, DMD

Individual provider Endodontics · NPI 1013070879

Dr. Theodore D Ravenel V, DMD is an Endodontics in Augusta, Georgia. Works from 2 locations. Licensed in Georgia and South Carolina.

Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone: (706) 721-2371
Fax: (706) 721-6778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 173 Ashley Ave, Charleston, SC 29425-5908 — (843) 792-3661

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DNF000463 (GA)
Endodontics Taxonomy 1223E0200X · Licence 3711 (SC)

Record details

NPI number1013070879
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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