NPI age
19 years
Enumerated 2006-12-19
● Active
Type 1 · Individual
DR. Theodore D Ravenel V, DMD
Ravenel is 1 of 16 dentist providers in Augusta and 1 of 200 in Georgia.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 200 active dentist providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
Mailing address
1430 John Wesley Gilbert Drive
Augusta, GA 309120001
Additional practice locations
1 secondary location on file with NPPES.
Location 2
173 Ashley Ave
Charleston, SC 294255908
Specialties
-
Dentist PrimaryThe 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...
Practice context
Part of a multi-provider practice. 136 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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