Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDOLPH THOMAS TRAVIS, DMD
Active Sole ProprietorDR. RANDOLPH THOMAS TRAVIS, DMD is a Pediatric Dentistry healthcare provider located in MADISONVILLE, Kentucky. NPI 1407862626 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · MADISONVILLE, KY
Registration Details
- NPI Number
- 1407862626
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.00426992096 yrs)
- Last Updated
- Jun 12, 2008
- Licenses
-
KY. 5141 (KY)INDIANA 12010320A (KY)OHIO 30.019661 (OH)5141 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 PRIDE AVENUEMADISONVILLE, KY, 424319108Browse KY providers · Browse ZIP 42431
- Phone
- 2708217386
- Fax
- 2708217401
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- General Dentistry
Other Pediatric Dentistry Providers in MADISONVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| DR. VAUGHN ELLIOT BRUMMER | D.D.S. | 1548335433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.