Provider Demographics
NPI:1538684832
Name:PARKENING, TRAVIS ARTHUR (DDS)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:ARTHUR
Last Name:PARKENING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 FM 2920 RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3115
Mailing Address - Country:US
Mailing Address - Phone:281-350-5378
Mailing Address - Fax:
Practice Address - Street 1:4925 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3115
Practice Address - Country:US
Practice Address - Phone:281-350-5378
Practice Address - Fax:281-288-6266
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice