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PINE LAWN DENTAL
NPI 1750793709
Dentist - General Practice in Saint Louis, MO

Active since May 27, 2014
3721 JENNINGS STATION RD, SAINT LOUIS, MO 63121(314) 382-2000 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pine Lawn Dental NPPES

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

PINE LAWN DENTAL (NPI 1750793709) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since May 2014. The organization lists Michael Patrick Travis, Dentist, as its authorized official.

NPPES Registry Identity

NPI1750793709
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL P. TRAVIS, DDS LLC
Location Address3721 JENNINGS STATION RDSaint Louis, MO 63121-3505
Mailing Address3721 Jennings Station RdSaint Louis, MO 63121-3505 · (314) 382-2000
Phone(314) 382-2000
Organization SubpartNo
Authorized OfficialMichael Patrick TravisDentist · (314) 382-2000
Enumeration DateMay 27, 2014
✔ NPI 1750793709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2011019745
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3721 JENNINGS STATION RD, Saint Louis, MO 63121
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Other Names 1

Doing Business AsPine Lawn Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

DR. PAMELA JACKSON D.D.S.
Dentist
3721 JENNINGS STATION RD
SAINT LOUIS, MO 63121
St. Louis County (314) 382-2000
DR. JEROME DISHER D.D.S.
Dentist
3721 JENNINGS STATION RD
SAINT LOUIS, MO 63121
St. Louis County (314) 382-2000
DR. NICHOLAS P KAMAKAS D.D.S.
Dentist
3721 JENNINGS STATION RD
SAINT LOUIS, MO 63121
St. Louis County (314) 382-2000
DR. BRADLEY STANLEY LONDON DDS
Dentist
3721 JENNINGS STATION RD
SAINT LOUIS, MO 63121
St. Louis County (314) 382-2000

Frequently Asked Questions

What is MICHAEL P. TRAVIS, DDS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1750793709, enumerated as an "organization" on May 27, 2014.

Where is the provider located?

The provider is located at 3721 JENNINGS STATION RD SAINT LOUIS, MO 63121 and the phone number is (314) 382-2000.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does MICHAEL P. TRAVIS, DDS LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.