Individual
TRAVIS SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1115 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8464
(417) 255-9741
Mailing address
1137 INDEPENDENCE DR, WEST PLAINS, MO 65775-4221
(417) 255-8213
(417) 255-2013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2004018069
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406090704 (GROUP)
—
MO
Enumeration date
12/16/2005
Last updated
07/13/2026
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