Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Palmetto Periodontics PA

Organization Periodontics · NPI 1316084197

Palmetto Periodontics PA provides Periodontics in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 E Butler Rd
Greenville, SC 29607-5908
Phone: (864) 987-9700
Fax: (864) 987-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3710 (SC)

Record details

NPI number1316084197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Ravenel — Owner · (864) 987-9700
Other names Palmetto Periodontics Pa
NPI enumeratedJanuary 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1130 E Butler Rd, Greenville, SC 29607-5908

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