Travis, Brenyatta
Travis, Brenyatta is an individual health care provider with primary practice located at 6052 U S Highway 98 , Hattiesburg MS 39402-8861. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Travis, Brenyatta can be contacted via phone (601) 573-3760.Contact Information
Primary practice address
6052 U S Highway 98
Hattiesburg MS 39402-8861
Phone: (601) 573-3760
Fax: (601) 914-4874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4169-20 | Mississippi |
Profile Details
| NPI number | 1932706306 |
|---|---|
| LBN Legal business name | Travis, Brenyatta |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2020 |
| Last updated | Jul 18th, 2024 - about 2 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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