Individual
DR. TRAVIS JAMES AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1325 PINE ST STE 102, MELBOURNE, FL 32901-3189
(321) 725-5377
(321) 951-3393
Mailing address
3635 AYRSHIRE CIR, MELBOURNE, FL 32940-8606
(210) 535-7705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS036032
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9048
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN015542
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN27784
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS036032
PA
Other
Enumeration date
01/03/2007
Last updated
08/30/2023
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