| Dr Richard T Provine, DMD | |
|
1111 W O Ezell Blvd, Ste.a, Spartanburg, SC 29301-1655 | |
| (864) 576-0943 | |
| (864) 576-7989 |
| Full Name | Dr Richard T Provine |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1111 W O Ezell Blvd, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811074735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1821 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard T Provine, DMD 108 Amber Dr, Inman, SC 29349-9568 Ph: (864) 472-5708 | Dr Richard T Provine, DMD 1111 W O Ezell Blvd, Ste.a, Spartanburg, SC 29301-1655 Ph: (864) 576-0943 |
Dr. Harold James Colburn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1410 John B White Sr Blvd # A, Spartanburg, SC 29306 Phone: 864-574-5297 | |
William Alexander Marshall, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 319 N Pine St, Suite 5, Spartanburg, SC 29302 Phone: 864-585-8709 | |
Joanna Bauer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 Burton St, Spartanburg, SC 29301 Phone: 864-576-7169 | |
Dr. William Miller Edwards, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 154 Country Club Rd, Spartanburg, SC 29302 Phone: 864-582-0332 Fax: 864-582-2263 | |
Dr. Donald G Gregory, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 975 North Church Street, Spartanburg, SC 29303 Phone: 864-582-4308 Fax: 864-596-4492 | |
David Valery Shchirov, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8040 | |
Dr. Robert Ben Culp Iii, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1627 John B White Sr Blvd, Spartanburg, SC 29301 Phone: 864-574-5065 |