Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Travis Clark DDS LLC

Organization Dental Clinic/Center · NPI 1093329914

Travis Clark DDS LLC is a Dental Clinic/Center in Lebanon, Ohio. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1248 Columbus Ave Ste 8
Lebanon, OH 45036-9005
Phone: (513) 932-0432
Fax: (513) 932-0152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1093329914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Clark — Dentist · (614) 937-0509
Other names Family Dental Care Of Lebanon
NPI enumeratedSeptember 8, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address7845 Plantation Dr, Mason, OH 45040-5944

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