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DR. JOSE GREGORIO RAVELO DDS NPI 1457693020


NPI Information

NPI: 1457693020
Provider Name: DR. JOSE GREGORIO RAVELO, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: DRS KRAJEKIAN BROCK AND HENDERSON INC

PECOS Registration: Yes

Address:
1215 VIRGINIA ST E
CHARLESTON, WV
ZIP 25301
Phone: (304) 345-1092
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DR. Jose Gregorio Ravelo, DDS is an oral and maxillofacial surgery dentist in Charleston, WV with 27 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jose Gregorio Ravelo, DDS NPI is 1457693020. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduation Year:1997

The provider's business location address is:

1215 VIRGINIA ST E
CHARLESTON, WV
ZIP 25301-908
Phone: (304) 345-1092

The NPI 1457693020 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/21/2013 and was last updated on 10/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery4371WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.