MEDICARE: DR. TRAVIS EUGENE CAISSIE D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	DN 15810	FL

General Provider Information

NPI Number	:	1265574487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAVIS EUGENE CAISSIE D.D.S., M.S.

Provider Business Mailing Address
First Line	:	440 SAINT CHARLES CT
Second Line	:	STE 1000
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2180
Country	:	US
Telephone Number	:	407-333-3448
Fax Number	:	407-333-3458

Provider Business Practice Location Address
First Line	:	440 SAINT CHARLES CT
Second Line	:	STE 1000
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2180
Country	:	US
Telephone Number	:	407-333-3448
Fax Number	:	407-333-3458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1164174603 — USV OPTICAL, INC.
Practice Location Address:

440 SAINT CHARLES CT STE 1008
LAKE MARY, FL
32746-2180

Practice Phone: 407-333-2740
Practice Fax:

1659357929 — TIN T WIN M.D.
Practice Location Address:

2180 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ
86403-6879

Practice Phone: 928-680-8282
Practice Fax: 928-680-8288

1154333029 — MARK R BRIESACHER MD
Practice Location Address:

2180 E 4500 S , #210
SALT LAKE CITY, UT
84117-4434

Practice Phone: 801-278-4719
Practice Fax:

1316950967 — JENNIFER LINFORD MD
Practice Location Address:

2180 E 4500 S , #210
SALT LAKE CITY, UT
84117-4434

Practice Phone: 801-278-4719
Practice Fax:

1922011576 — JED B VANDENBERGHE MD
Practice Location Address:

2180 E 4500 S
SALT LAKE CITY, UT
84117-4434

Practice Phone: 801-278-4693
Practice Fax:

1881707875 — MARK T WITT MD
Practice Location Address:

2180 E 4500 S , #210
SALT LAKE CITY, UT
84117-4434

Practice Phone: 801-278-4719
Practice Fax:

Directions to “ DR. TRAVIS EUGENE CAISSIE D.D.S., M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.