DR. TRAVIS BELLICCHI DMD MS NPI 1205240173

NPI Information

NPI: 1205240173
Provider Name: DR. TRAVIS BELLICCHI, DMD, MS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 423-7052
Get Directions

DR. Travis Bellicchi, DMD, MS is a prosthodontics dentist in Travis Afb, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Travis Bellicchi, DMD, MS NPI is 1205240173. 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:

101 BODIN CIR
TRAVIS AFB, CA
ZIP 94535-809
Phone: (707) 423-7052

The enumeration date for this NPI number is 6/18/2014 and was last updated on 5/18/2023.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223P0700X	Dentist	Prosthodontics	12012188A	INDIANA	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: 4/28/2024

NPI Synchronization or Removal

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