Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD T. PROVINE, D.M.D

Active Sole Proprietor

DR. RICHARD T. PROVINE, D.M.D is a General Dentistry healthcare provider located in SPARTANBURG, South Carolina. NPI 1811074735 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SPARTANBURG, SC

Registration Details

NPI Number: 1811074735
Provider Type: Individual
Gender: Male
NPI Issued: Nov 1, 2006 (19.797423919164 yrs)
Last Updated: May 7, 2008
License: 1821 (SC)
Sole Proprietor: Yes

Practice Information

Address: 1111 W O EZELL BLVD

STE.A

SPARTANBURG, SC, 293011655
Browse SC providers · Browse ZIP 29301
Phone: 8645760943
Fax: 8645767989
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in SPARTANBURG, SC

Name	Credential	NPI
DR. CHARLES S. BEBKO	D.M.D.	1093718009
DR. ALAN GRAHAM BOGGIE	D.M.D.	1528016367
DR. EDIRIN G ANDERSON	DDS	1285682013
JAMES EMANUEL GIBBS	—	1891743233
DR. ANDY ROY BUTCHER	DMD	1477588804
DR. DONALD LEE UNDERWOOD	DMD	1750300943

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.