Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699203109 Individual Practitioner Male Practitioner

Dr. Travis Royce Baskerville , DMD

Dentist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Travis Baskerville, DMD is a registered healthcare professional specializing in Dentist in Vancouver, WA. Practice services are available at 12116 SE MILL PLAIN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12116 Se Mill Plain Blvd

Vancouver, WA 98684

Telephone 3602568200
Associated Practice Facility / Clinic
🏢 Morgan L Andersen, Dds, Ps Facility NPI 1134265655

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
113 Specialists

Practicing in Vancouver, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA 60772184

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

16600 Se 15th St Unit B

Vancouver, WA 986839502

Phone: 3602827435

5071 Ne 122nd Ave

Portland, OR 972301003

Phone: 5032555700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Morgan Andersen , DDS

Dentist - General Practice

NPI 1164518643

Doctor of Dental Surgery

Dr. Christopher Bessey , DDS

Dentist - General Practice

NPI 1891215034

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location August 20, 2018

Registered at 12116 SE MILL PLAIN BLVD, VANCOUVER, WA 98684 (Tel: 3602568200)

📍
Updated Practice Location June 29, 2018

Registered at 1461 BROADWAY ST APT A, LONGVIEW, WA 98632 (Tel: (855) 433-6825)

📍
Updated Business Mailing Address June 29, 2018

Registered at 503 N 41ST AVE, RIDGEFIELD, WA 986428074 (Tel: 5037099322)

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as TRAVIS BASKERVILLE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Dentist (License #60772184 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 1461 BROADWAY ST APT A, LONGVIEW, WA 986323724 (Tel: (855) 433-6825)

📍
Updated Business Mailing Address August 16, 2017

Registered at 1461 BROADWAY ST APT A, LONGVIEW, WA 986323724 (Tel: (855) 433-6825)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as TRAVIS BASKERVILLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Dentist (License #60772184 in WA)

NPI Profile Active May 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2017

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: (503) 494-8211)

📍
Updated Business Mailing Address May 28, 2017

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5037099322)

👤
Provider Name / Credentials Updated May 28, 2017

Recorded as TRAVIS BASKERVILLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699203109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2017
Last Update: August 20, 2018
Sole Proprietor: No

Mailing Address

503 N 41st Ave

Ridgefield, WA 986428074

Phone: 5037099322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.