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

Travis James Mackey

Individual provider Dentist · NPI 1760063135

Travis James Mackey is a Dentist in Manorville, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

496 County Road 111 Bldg F
Manorville, NY 11949-3383
Phone: (631) 929-5855
Show map & directions

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

Additional practice locations (1)

  • 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 — (631) 474-6553

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 062492 (NY)

Record details

NPI number1760063135
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2021
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address24 Wisconsin Ave, Port Jefferson Station, NY 11776-8012