DR. TRAVIS LYNELL THOMAS (NPI# 1891206421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891206421 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS LYNELL THOMAS |
| Credential | DMD |
| Practice Address |
909 Hartford Tpke Ste D5 Waterford CT 06385-4267 |
| Mailing Address |
39 Shepard St Apt 6 Boston MA 02135-3326 |
| Practice Telephone | 8604400700 |
| Mailing Telephone | 8573086346 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN1857766 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 434 Southbridge St Ste B, Auburn, MA 015014423 | 5087526649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065167 | Travis Thomas | Counselor | 2545 N Eldorado Ave, Klamath Falls, OR 97601-6423 | 2019-07-18 |
| 1679076590 | Travis Thomas | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2018-03-16 |
| 1427281849 | Travis L Thomas | Counselor | 109 Bee St, Charleston, SC 29401-5703 | 2009-09-02 |
| Street Address |
909 HARTFORD TPKE STE D5 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-4267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083200 | Alexander Joseph Alkass | Dentist | 1132 Voorheis Rd, Waterford, MI 48328-3944 | 2017-06-23 |
| 1578916557 | Stephen Hendricks | Dentist | 5531 Brunswick Blvd, Waterford, MI 48327-2511 | 2016-07-14 |
| 1487900312 | Jeffrey W. Miller | Dentist | 5695 Dixie Hwy, Waterford, MI 48329-1619 | 2012-07-30 |
| 1710208053 | Shane Terry Davidson | Dentist | 5574 Cooley Lake Road, Waterford, MI 48327 | 2010-06-22 |
| 1144492067 | Wayne Eric Pickett | Dentist | 5574 Cooley Lake Rd, Waterford, MI 48327-3015 | 2008-04-01 |
| 1942496278 | Mark Laszlo, Dds, PC | Dentist | 4624 W Walton Blvd, Suite B, Waterford, MI 48329-3566 | 2007-09-20 |
| 1750501854 | Timothy Jm Kaercher | Dentist | 32 Broad Street, Waterford, NY 12188-2414 | 2007-04-30 |
| 1558586636 | George Lim Poy Jr. | Dentist | 7096 Highland Rd, Waterford, MI 48327-1502 | 2007-04-16 |
| 1427170034 | David A Wright | Dentist | 4152 Sashabaw Rd, Waterford, MI 48329-1953 | 2007-04-04 |
| 1043339427 | David James Mcchesney | Dentist | 5155 Dixie Hwy, Waterford, MI 48329-1715 | 2007-03-28 |
| Find all providers in WATERFORD | ||||
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| 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.