Theodore Ravenel, DMD
NPI 1013070879 · Endodontics · Augusta, GA
Enrolled with Medicare as Practitioner - Endodontics · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Ravenel, DMD is a Endodontics provider in Augusta, GA (NPI 1013070879).
Provider details
- NPI number
- 1013070879
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 3711 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 173 Ashley AveCharleston, SC 29425-5908Phone: (843) 792-3661
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Frequently asked questions
- What is Theodore Ravenel's NPI number?
- Theodore Ravenel's National Provider Identifier (NPI) is 1013070879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Ravenel's specialty?
- Theodore Ravenel is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Theodore Ravenel located?
- Theodore Ravenel's practice location on file with NPPES is 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001.
- What is Theodore Ravenel's phone number?
- The practice phone number listed in the NPPES registry for Theodore Ravenel is (706) 721-2371.
- Does Theodore Ravenel accept Medicare?
- Theodore Ravenel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Ravenel's NPI active?
- Yes — Theodore Ravenel's NPI (1013070879) is active in the NPPES registry as of the last update on 2024-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.