# TRAVIS BOYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992715304
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 00202790 | CO | Yes |
| 1223G0001X | General Practice Dentistry | D3896 | ID | — |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 03/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07178506 | — | CO |
| 05 | — | 200533690A | — | OK |
| 05 | — | 807402500 | — | ID |
