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

Individual provider Dentist · NPI 1578328530

Travon Stephen Terrell is a Dentist in Boston, Massachusetts. Licensed in Connecticut and Massachusetts. Registered with an NPI since 2024.

Licensed in
CT, MA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10000994 (MA)
Dentist Taxonomy 122300000X · Licence 14519 (CT)

Record details

NPI number1578328530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address150 Exchange St Apt 201, Malden, MA 02148-5535

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