Clayton Joseph Travis, DMD MDS
Individual provider Active NPI Endodontics · Spring Hill, FL
NPI 1376339093 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1376339093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DN28855 (FL)
- Practice address
- 5305 Spring Hill Dr
Spring Hill, FL 34606-4558 - Phone
- (352) 668-7858
- NPI assigned
- Apr 18, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28855 | FL | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN28855 | FL | Yes |
Addresses
Primary practice location
5305 Spring Hill Dr
Spring Hill, FL 34606-4558
Mailing address
5305 Spring Hill Dr
Spring Hill, FL 34606-4558
Phone (352) 668-7858
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.