OrganizationActive
Travis Clark DDS LLC
NPI 1093329914 · Dental Clinic/Center · Lebanon, OH
Travis Clark DDS LLC is a Dental Clinic/Center organization in Lebanon, OH (NPI 1093329914).
Provider details
- NPI number
- 1093329914
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Travis Clark, Dentist(614) 937-0509
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1248 Columbus Ave Ste 8
Lebanon, OH 45036-9005
Phone: (513) 932-0432
Fax: (513) 932-0152
Street-level locationGet directions
Mailing address
7845 Plantation Dr
Mason, OH 45040-5944
Other names (DBA / former)
- Doing business as
- Family Dental Care of Lebanon
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Frequently asked questions
- What is Travis Clark DDS LLC's NPI number?
- Travis Clark DDS LLC's National Provider Identifier (NPI) is 1093329914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Travis Clark DDS LLC?
- Travis Clark DDS LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Travis Clark DDS LLC located?
- Travis Clark DDS LLC's practice location on file with NPPES is 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005.
- What is Travis Clark DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Travis Clark DDS LLC is (513) 932-0432.
- Who is the authorized official for Travis Clark DDS LLC?
- The authorized official listed on Travis Clark DDS LLC's NPPES record is Travis Clark, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Travis Clark DDS LLC's NPI active?
- Yes — Travis Clark DDS LLC's NPI (1093329914) is active in the NPPES registry as of the last update on 2020-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.