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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
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