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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.