# TRAVIS L. GILLESPIE, DDS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619425154
- **Authorized official:** TRAVIS GILLESPIE (PRESIDENT)
- **Authorized official phone:** (620) 663-9133

## Contact information

- **Practice address:** 200 E 30TH AVE, HUTCHINSON, KS 67502-2409
- **Practice address phone:** (620) 663-9133
- **Mailing address:** 200 E 30TH AVE, HUTCHINSON, KS 67502-2409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60666 | KS | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 09/13/2016