Provider Demographics
NPI:1316353303
Name:TRESHER, WENDY RENE (DMD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:RENE
Last Name:TRESHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 STATE ROAD 44
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-8304
Mailing Address - Country:US
Mailing Address - Phone:386-423-1440
Mailing Address - Fax:386-423-1957
Practice Address - Street 1:2234 STATE ROAD 44
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-8304
Practice Address - Country:US
Practice Address - Phone:386-423-1440
Practice Address - Fax:386-423-1957
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN206351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice