Ravenel, Theodore D

Ravenel, Theodore D is an sole proprietor health care provider with primary practice located at 115 Professional Ave , West Columbia SC 29169-4711. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ravenel, Theodore D can be contacted via phone (803) 794-8371.

Contact Information

Primary practice address
115 Professional Ave West Columbia SC 29169-4711
Phone: (803) 794-8371
Fax: (803) 794-7060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1343 South Carolina

Profile Details

NPI number 1518047182
LBN Legal business name Ravenel, Theodore D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers