OrganizationActive
Palmetto Periodontics PA
NPI 1316084197 · Periodontics · Greenville, SC
Palmetto Periodontics PA is a Periodontics organization in Greenville, SC (NPI 1316084197).
Provider details
- NPI number
- 1316084197
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Ravenel, Owner(864) 987-9700
- License
- 3710 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
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
1 documented practice location
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
1130 E Butler Rd
Greenville, SC 29607-5908
Phone: (864) 987-9700
Fax: (864) 987-0198
Street-level locationGet directions
Mailing address
1130 E Butler Rd
Greenville, SC 29607-5908
Other names (DBA / former)
- Doing business as
- Palmetto Periodontics PA
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2020-08-22
Frequently asked questions
- What is Palmetto Periodontics PA's NPI number?
- Palmetto Periodontics PA's National Provider Identifier (NPI) is 1316084197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palmetto Periodontics PA?
- Palmetto Periodontics PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Palmetto Periodontics PA located?
- Palmetto Periodontics PA's practice location on file with NPPES is 1130 E Butler Rd, Greenville, SC 29607-5908.
- What is Palmetto Periodontics PA's phone number?
- The practice phone number listed in the NPPES registry for Palmetto Periodontics PA is (864) 987-9700.
- Who is the authorized official for Palmetto Periodontics PA?
- The authorized official listed on Palmetto Periodontics PA's NPPES record is Lisa Ravenel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palmetto Periodontics PA's NPI active?
- Yes — Palmetto Periodontics PA's NPI (1316084197) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.