DR. Richard T. Provine, D.M.D is a general practice dentist in Spartanburg, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Richard T. Provine, D.M.D NPI is 1811074735. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1111 W O EZELL BLVD
STE.A
SPARTANBURG, SC
ZIP 29301-655
Phone: (864) 576-0943
Fax: (864) 576-7989
The NPI 1811074735 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 11/1/2006 and was last updated on 5/7/2008.