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DR. TRAVIS JAMES AUSTIN DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1073670550

Individual Registrant:
DR. TRAVIS JAMES AUSTIN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
BLDG 38717 38TH STREET USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2082

Contact information for business:
BLDG 38717 38TH STREET USA DENTAC FT GORDON, GA 30905-5660 US
Tel: 706-787-6927  Fax: 706-787-2082

Registration Information:
NPI: 1073670550
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223G0001XDental Providers
Dentist
General Practice
PADS036032
Y1223S0112XDental Providers
Dentist
PADS036032

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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