Individual provider · Type 1 NPI

Travis Shore, DMD

General Practice Dentistry · Sierra Vista, AZ

NPI number 1891313300 Active

Practice location

1993 Frontage Rd Ste 208
Sierra Vista, AZ 85635-4695

Mailing address

1137 Sentinel Peak Rd
Sierra Vista, AZ 85635-1496

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XPD0023 (AZ)
General Practice Dentistry Primary 1223G0001XD010774 (AZ)

General Practice Dentistry: 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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About NPI 1891313300

Travis Shore, DMD's National Provider Identifier is 1891313300, issued on Jul 10, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sierra Vista, AZ. The record was last updated on Jul 22, 2020.