IndividualActive
Travis Barrett, DMD, MS
NPI 1053929778 · Periodontics · Saint Louis, MO
Provider details
- NPI number
- 1053929778
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 2020022465 (MO)
Practice location
77 W Port Plz Ste 367
Saint Louis, MO 63146-3124
Phone: (314) 434-4676
Mailing address
77 W Port Plz Ste 367
Saint Louis, MO 63146-3124
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2024-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.