Most Relevant Information
Provider Data
| NPI Number: | 1003179011 |
| Provider Name: | TRAVIS CASTLEBERRY DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4247 |
Most Important Dates
| Enumeration Date: | 06/25/2012 |
| Last Updated: | 12/21/2021 |
Provider Practice Location
120 SOUTH ST
BLUE HILL
ME
046146120
Practice Location Phone/Fax
| Phone: | 2073745538 |
| Fax: | 2076132424 |
Provider Mailing Location
PO BOX 628
BLUE HILL
ME
046140628
Provider Mailing Phone/Fax
| Phone: | 2073745538 |
| Fax: |