1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Dentist
  6. NPI Profile

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: August 09, 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
Open in Google Maps ↗

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 NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Michael P. Travis, Dds LLC's NPI number?

The NPI number for Michael P. Travis, Dds LLC is 1750793709. It was assigned to this organization in the NPPES registry on May 27, 2014. The provider is doing business as Pine Lawn Dental.

Where is Michael P. Travis, Dds LLC located?

Michael P. Travis, Dds LLC is located at 3721 Jennings Station Rd, Saint Louis, MO 63121. The listed phone number is (314) 382-2000.

What is Michael P. Travis, Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Michael P. Travis, Dds LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Michael P. Travis, 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 Michael P. Travis, Dds LLC was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.