MEDICARE: MICHAEL P. TRAVIS, DDS LLC

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	1223G0001X	General Practice Dentistry	2011019745	MO

General Provider Information

NPI Number	:	1750793709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL P. TRAVIS, DDS LLC

Provider Business Mailing Address
First Line	:	3721 JENNINGS STATION RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3505
Country	:	US
Telephone Number	:	314-382-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3721 JENNINGS STATION RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63121-3505
Country	:	US
Telephone Number	:	314-382-2000
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MICHAEL PATRICK TRAVIS
Credential	:	DDS
Telephone Number	:	314-382-2000

Provider Enumeration Date	:	05/27/2014
Last Update Date	:	05/27/2014

Similar Medicare Providers

1023127107 — DR. NICHOLAS P KAMAKAS D.D.S.
Practice Location Address:

3721 JENNINGS STATION RD
SAINT LOUIS, MO
63121-3505

Practice Phone: 314-382-2000
Practice Fax: 314-382-2411

1225147317 — DR. PAMELA JACKSON D.D.S.
Practice Location Address:

3721 JENNINGS STATION RD
SAINT LOUIS, MO
63121-3505

Practice Phone: 314-382-2000
Practice Fax: 314-382-2411

1891804985 — DR. JEROME DISHER D.D.S.
Practice Location Address:

3721 JENNINGS STATION RD
SAINT LOUIS, MO
63121-3505

Practice Phone: 314-382-2000
Practice Fax: 314-382-2411

1992297824 — DR. BRADLEY STANLEY LONDON DDS
Practice Location Address:

3721 JENNINGS STATION RD
SAINT LOUIS, MO
63121-3505

Practice Phone: 314-382-2000
Practice Fax:

1578613014 — DR. MICHAEL BRENT STOTLER MD
Practice Location Address:

5500 HEEGE RD
SAINT LOUIS, MO
63123-3505

Practice Phone: 314-351-0550
Practice Fax: 314-962-2538

1720604945 — MANICIA DOSS
Practice Location Address:

3301 COMMONWEALTH AVE
SAINT LOUIS, MO
63143-3505

Practice Phone: 503-380-0906
Practice Fax:

Directions to “MICHAEL P. TRAVIS, DDS LLC ” 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.