Individual
DR. MICHAEL PATRICK TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3708 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3500
(314) 382-2000
Mailing address
3708 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3500
(314) 382-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2011019745
MO
Other
Enumeration date
06/28/2011
Last updated
05/07/2026
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