Individual
DR. TRAVIS MCMAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2195 HARRODSBURG RD STE 175, LEXINGTON, KY 40504-3523
(859) 323-8873
(859) 323-7193
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9451
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
104919
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9451
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DNF000452
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
92043
GA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
9451
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DNF000452
GA
Other
Enumeration date
06/30/2014
Last updated
06/05/2024
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