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Brenyatta Travis, DMD
General Practice Dentistry in Gulfport, Mississippi
NPI 1932706306

Brenyatta Travis is a General Practice Dentistry based in Petal, MS and is specialized in General Practice. Brenyatta Travis practices in Gulfport, MS and has the professional credentials of DMD. The NPI Number for Brenyatta Travis is 1932706306 and holds a License No. 4169-20 (Mississippi).

The current practice location address for Brenyatta Travis is 28 Pass Rd Ste 300, Gulfport, MS and can be reached out via phone at 228-863-4009.

Location: 28 Pass Rd Ste 300, Gulfport, MS, 39465-9739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932706306
Provider Name
Brenyatta Travis
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
28 Pass Rd Ste 300, Gulfport, MS, 39465-9739
Phone Number
228-863-4009
Fax Number
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Pass Rd Ste 300
City
Gulfport
State
Mississippi
Zip
39507-3244
Phone Number
228-863-4009
Fax Number
person
Provider Business Mailing Address Details
Address
28 Pass Rd Ste 300
City
Gulfport
State
Mississippi
Zip
39507-3244
Phone Number
228-863-4009
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4169-20 (Mississippi)
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.
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