# DR. TRAVIS JON HAMILTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164712022
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D9861 | OR | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN.00204638 | CO | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD190558 | OR | — |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 04/03/2025