TRAVIS C. BRISENO LD NPI 1730679168

NPI Information

NPI: 1730679168
Provider Name: TRAVIS C. BRISENO, LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
773 GOLF VIEW DR
MEDFORD, OR
ZIP 97504
Phone: (855) 433-6825
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Travis C. Briseno, LD is a denturist in Medford, OR. The provider is definition to come. Travis C. Briseno, LD NPI is 1730679168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

773 GOLF VIEW DR
MEDFORD, OR
ZIP 97504
Phone: (855) 433-6825
Fax: (503) 952-2267

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122400000X	Denturist		DT-TMP-10190928	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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