Austin, Travis James
Austin, Travis James is an individual health care provider with primary practice located at 1325 Pine St Ste 102 , Melbourne FL 32901-3189. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Austin, Travis James can be contacted via phone (321) 725-5377.Contact Information
Primary practice address
1325 Pine St Ste 102
Melbourne FL 32901-3189
Phone: (321) 725-5377
Fax: (321) 951-3393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS036032 | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN015542 | Georgia |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS036032 | Pennsylvania |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9048 | South Carolina |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN27784 | Florida |
Profile Details
| NPI number | 1073670550 |
|---|---|
| LBN Legal business name | Austin, Travis James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Aug 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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