Travis Burnham

General Practice Dentistry · Eureka, CA

Individual Active NPI

NPI number 1477912806

Practice location

959 Myrtle Ave
Eureka, CA 95501-1219
Phone
(707) 442-7078
Fax
(707) 442-7298

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NPI record

NPI
1477912806
Entity type
Individual (Type 1)
Enumeration date
February 12, 2016
Last updated
November 14, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 101887 CA

Mailing address

670 9TH St Ste 203
Arcata, CA 95521-6249
Phone
(707) 826-8633
Fax
(707) 826-8638

Other practice locations (1)

  • 959 Myrtle Ave, Eureka, CA 95501-1219 · (707) 442-7078

About Travis Burnham

Travis Burnham is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 959 Myrtle Ave, Eureka, CA 95501-1219. The NPI number 1477912806 was assigned on February 12, 2016 and the record was last updated on November 14, 2017.

Travis Burnham lists a license in the registry: #101887 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Travis Burnham?

The NPI number is 1477912806.

What is the phone number of Travis Burnham?

The phone number listed for the practice location is (707) 442-7078.

Where is Travis Burnham located?

959 Myrtle Ave, Eureka, CA 95501-1219.

What is the taxonomy code for Travis Burnham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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