Travis Garnto, DMD

Individual provider Active NPI General Practice Dentistry · Watkinsville, GA

NPI 1801325535 · NPPES record last updated May 15, 2019

Key facts

NPI
1801325535
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN015413 (GA)
Practice address
1010 Woodlands Rd
Watkinsville, GA 30677-1990
Phone
(706) 769-7727
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN015413GAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN015413 GA Yes

Addresses

Primary practice location

1010 Woodlands Rd
Watkinsville, GA 30677-1990

Mailing address

1010 Woodlands Rd
Watkinsville, GA 30677-1990
Phone (706) 769-7727

Other practice location 1

311 Pete Phillips Dr
Vidalia, GA 30474-8821
Phone (912) 537-7048

Other providers in Watkinsville, GA

All providers in Watkinsville, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.