Provider Demographics
NPI:1073649794
Name:TRAHOS, NORMAN M (DDS)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:M
Last Name:TRAHOS
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 1:413 WESTWOOD OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5109
Mailing Address - Country:US
Mailing Address - Phone:540-371-6700
Mailing Address - Fax:540-373-7943
Practice Address - Street 1:413 WESTWOOD OFFICE PARK
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5109
Practice Address - Country:US
Practice Address - Phone:540-371-6700
Practice Address - Fax:540-373-7913
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014115401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice