Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013070879 Individual Practitioner Male Practitioner

Dr. Theodore D Ravenel , DMD

Dentist - Endodontics • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Ravenel, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Telephone 7067212371
Fax 7067216778
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Augusta, GA (162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-02
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License GA DNF000463

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License SC 3711

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Secondary Practice Locations

173 Ashley Ave

Charleston, SC 294255908

Phone: 8437923661

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Steven Nelson , DMD

Dentist - Prosthodontics

NPI 1003861352

Doctor of Dental Medicine

Dr. John Hawkins , CRNA, PhD

Nurse Anesthetist, Certified Registered

NPI 1003880196

Certified Registered Nurse Anesthetist, Doctor of Philosophy (Ph.D.)

Dr. Edna Pashley , DMD

Dentist - Pediatric Dentistry

NPI 1033165584

Doctor of Dental Medicine

Dr. Ryan Mooneyham , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033705066

Doctor of Dental Surgery

Jayna Patel

Student in an Organized Health Care Education/Training Program

NPI 1033817374

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 02, 2024

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

📍
Updated Business Mailing Address July 02, 2024

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

NPI Profile Active January 04, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2018

Registered at 173 ASHLEY AVE, CHARLESTON, SC 294255908 (Tel: 8437923661)

📍
Updated Business Mailing Address January 04, 2018

Registered at 1130 E BUTLER RD, GREENVILLE, SC 296075908 (Tel: 8649877030)

👤
Provider Name / Credentials Updated January 04, 2018

Recorded as THEODORE RAVENEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2018

Dentist (License #3711 in SC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1130 E BUTLER RD, GREENVILLE, SC 296075908 (Tel: 8649877030)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1130 E BUTLER RD, GREENVILLE, SC 296075908 (Tel: 8649877030)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE RAVENEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3711 in SC)

🟢
Initial NPI Registration & Enumeration December 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Theodore Ravenel. Be the first to share your experience!

Sign in to leave a review for Dr. Theodore Ravenel

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013070879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: July 02, 2024
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067212371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.