OrganizationActive
Dentrust, P.C.
NPI 1124763271 · General Practice Dentistry · Travis Afb, CA
Provider details
- NPI number
- 1124763271
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Lance, Credentialing Specialist(910) 728-9767
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
461 Skymaster Cir Bldg 648
Travis Afb, CA 94535-1909
Phone: (707) 474-4599
Fax: (707) 402-6535
Approximate (ZIP-level) locationGet directions
Mailing address
461 Skymaster Cir Bldg 648
Travis Afb, CA 94535-1909
Other names (DBA / former)
- Doing business as
- Docs Dental Travis Afb
- Doing business as
- Docs Dental Travis Afb
Registry dates
- Enumerated
- 2022-05-03
- Last updated
- 2022-09-01
- Certified
- 2022-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.