TRAVIS CLARK DDS LLC
NPI 1093329914
Clinic/Center - Dental in Lebanon, OH

Q: What is Travis Clark Dds LLC's NPI number?

The NPI number for Travis Clark Dds LLC is 1093329914. It was assigned to this organization in the NPPES registry on September 8, 2020. The provider is doing business as Family Dental Care Of Lebanon.

Q: What is Travis Clark Dds LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since September 08, 2020

1248 COLUMBUS AVE STE 8, LEBANON, OH 45036(513) 932-0432(513) 932-0152 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Travis Clark Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS CLARK DDS LLC (NPI 1093329914), doing business as Family Dental Care Of Lebanon, is a healthcare organization registered as a dental in Lebanon, Ohio and active in the NPI registry since September 2020. The organization lists Travis Clark, Dentist, as its authorized official.

NPPES Registry Identity

NPI1093329914

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameTRAVIS CLARK DDS LLC

Location Address1248 COLUMBUS AVE STE 8Lebanon, OH 45036-9005

Mailing Address7845 Plantation DrMason, OH 45040-5944 · (614) 937-0509 · Fax (513) 932-0152

Phone(513) 932-0432

Fax(513) 932-0152

Organization SubpartNo

Authorized OfficialTravis ClarkDentist · (614) 937-0509

Enumeration DateSeptember 8, 2020

NPPES CertifiedSeptember 8, 2020

✔ NPI 1093329914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

1248 COLUMBUS AVE STE 8, Lebanon, OH 45036

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Other Names 1

Doing Business AsFamily Dental Care Of Lebanon

Other Identifiers 1

Medicaid2668466OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Clark Dds LLC's NPI number?

The NPI number for Travis Clark Dds LLC is 1093329914. It was assigned to this organization in the NPPES registry on September 8, 2020. The provider is doing business as Family Dental Care Of Lebanon.

Where is Travis Clark Dds LLC located?

Travis Clark Dds LLC is located at 1248 Columbus Ave Ste 8, Lebanon, OH 45036. The listed phone number is (513) 932-0432.

What is Travis Clark Dds LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Travis Clark Dds LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and UnitedHealthcare list Travis Clark Dds LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Travis Clark Dds LLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.