Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE D RAVENEL JR., D.M.D.
Active Sole ProprietorDR. THEODORE D RAVENEL JR., D.M.D. is a Dentist healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1518047182 is currently active in the NPPES registry. Verify at CMS.
Dentist · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1518047182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.650388895293 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1343 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
115 PROFESSIONAL AVEWEST COLUMBIA, SC, 291694711Browse SC providers · Browse ZIP 29169
- Phone
- 8037948371
- Fax
- 8037947060
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| DR. WALTER PENNINGTON WITHERSPOON JR. | DDS MSO | 1689647307 |
| DR. KAREN PARK | D.M.D. | 1902864127 |
| DR. ERICA M JOHANNES | DDS | 1881707420 |
| DR. PETER OTTO STOLTZ | DMD | 1548359847 |
| DR. BROOKE MANNING STOLTZ | DMD | 1366531675 |
| MR. DENO STAVROS CHRYSOSTOM | DMD | 1477623791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.