Travis Clark DDS LLC

Travis Clark DDS LLC is a healthcare organization registered as Dental Clinic/Center in Lebanon, OH, holding Type 2 (organization) NPI 1093329914 since 2020. The authorized official on file is Travis Clark, Dentist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1093329914
Entity type	Organization (Type 2)
Legal business name	Travis Clark DDS LLC
Practice address	1248 COLUMBUS AVE STE 8, Lebanon, OH, 45036
Phone	5139320432
Fax	5139320152
Enumeration date	2020-09-08
Last updated in NPPES	2020-09-08

Authorized official

Name	Travis Clark
Title	Dentist
Phone	6149370509

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
2668466	Medicaid	OH	—

Copy-ready billing details

Provider: Travis Clark DDS LLC
NPI: 1093329914
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 1248 COLUMBUS AVE STE 8, Lebanon, OH, 45036

Verify this record

Cross-check NPI 1093329914 against the authoritative CMS record: view Travis Clark DDS LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Travis Clark DDS LLC located?

The practice location on file with NPPES is in Lebanon, OH.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-08.