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

Dr. Randolph Thomas Travis, DMD

Individual provider Pediatric Dentistry · NPI 1407862626

Dr. Randolph Thomas Travis, DMD is a Pediatric Dentistry in Madisonville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky and Ohio.

Licensed in
KY, OH
In the registry since
2006
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Pride Ave
Madisonville, KY 42431-9108
Phone: (270) 821-7386
Fax: (270) 821-7401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence KY. 5141 (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence INDIANA 12010320A (KY)
Pediatric Dentistry Taxonomy 1223P0221X · Licence OHIO 30.019661 (OH)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5141 (KY)

Record details

NPI number1407862626
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 12, 2008
Mailing address1400 Pride Avenue, Madisonville, KY 42431-9108

Other providers in Madisonville