Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS C. BRISENO, LD
ActiveTRAVIS C. BRISENO, LD is a 122400000X healthcare provider located in MEDFORD, Oregon. NPI 1730679168 is currently active in the NPPES registry. Verify at CMS.
122400000X · MEDFORD, OR
Registration Details
- NPI Number
- 1730679168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2018 (8.2274777706702 yrs)
- Last Updated
- May 15, 2018
- License
-
DT-TMP-10190928 (OR)
Practice Information
- Address
-
773 GOLF VIEW DRMEDFORD, OR, 97504Browse OR providers · Browse ZIP 97504
- Phone
- 8554336825
- Fax
- 5039522267
- Primary Specialty
-
122400000X
122400000X
Other 122400000X Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| DAVID RUSSELL DAHL | L.D. | 1518074673 |
| EDWARD EPLETT | DENTURIST | 1225243363 |
| TERESA EPLETT | C.D. | 1558576603 |
| MRS. ERIN M WATKINS | LICENSED DENTURIST | 1477083145 |
| JOSHUA EDWARD EPLETT | LICENCED DENTURIST | 1477017374 |
| ALISHA EPLETT | — | 1518649326 |
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.