Dr. Travis Clark is a Lebanon, Ohio based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Travis Clark is
30022366 for Dentistry in Ohio. His current practice location is
1248 Columbus Ave, Ste 8, Lebanon. Patients can reach him at
513-932-0432.
Dr. Travis Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Travis Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Travis Clark |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1248 Columbus Ave, Ste 8, Lebanon,
Ohio, 45036 |
| Phone: | 513-932-0432 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548344203 |
| NPI Enumeration Date: | 25 Oct, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Travis Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 30022366 | Dentistry | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Travis Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2668466 | Medicaid | Ohio | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1248 Columbus Ave, Suite 8
Lebanon, Ohio |
| Zip: | 45036 |
| Phone Number: | 513-932-0432 |
| Fax Number: | 513-932-0152 |
Patients can reach Dr. Travis Clark at
1248 Columbus Ave, Ste 8, Lebanon, Ohio or can
call to book an appointment on 513-932-0432.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.