BRENYATTA TRAVIS


Address: 28 Pass Rd Ste 300, Gulfport, MS 39507-3244
Phone: 2288634009

BRENYATTA TRAVIS (NPI# 1932706306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932706306
Entity Type Individual
Full Name BRENYATTA TRAVIS
Credential DMD
Practice Address 28 Pass Rd Ste 300
Gulfport
MS 39507-3244
Mailing Address 991 Highway 42
Petal
MS 39465-9739
Practice Telephone 2288634009
Mailing Telephone 6014474799
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4169-20 MS Dental Providers

Office Location

Street Address 28 PASS RD STE 300
City GULFPORT
State MS
Zip Code 39507-3244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1538605027 Andrea Broussard Personal Emergency Response Attendant 406 Pass Rd, Gulfport, MS 39507 2017-01-09
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
Find all providers in zip 39507

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831603257 Beach View Family Dental, Pllc Dentist 9072 Lorraine Road, Gulfport, MS 39503 2017-11-21
1477086585 Jason Franklin Olaivar Dentist 1311 Beards Cove, Gulfport, MS 39507-3600 2017-04-05
1417352204 Charlton Bryan Blakeney D.m.d. Dentist 12182 Highway 49, Gulfport, MS 39503-3125 2014-10-23
1700131331 Anna Rose Snyder Rider Dentist 410 Security Sq, Gulfport, MS 39507-1952 2012-07-19
1174829501 Kinyatta Bennett Dentist 13179 Three Rivers Rd, Gulfport, MS 39503-4944 2011-02-02
1033412176 Toothdocs, LLC Dentist 382 Courthouse Rd, Suite B, Gulfport, MS 39507-1863 2010-12-13
1891985875 Mike C Mccabe Dentist 605 16th St, Gulfport, MS 39507-1302 2007-07-26
1376765016 David Ricardo Mendoza Dentist 5028 Gulfport Blvd S, Gulfport, FL 33707-4942 2007-05-03
1104957422 Hillcrest Dental Group, P.a. Dentist 382 Courthouse Rd Ste B, Gulfport, MS 39507-1864 2007-03-08
1639213275 Edward S. Wheeler, Dmd, Pa Dentist 14120 Dedeaux Rd, Gulfport, MS 39503-4527 2007-02-16
Find all providers in GULFPORT

Competitor

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City GULFPORT
Zip Code 39507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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