Provider Demographics
NPI:1598851958
Name:MICHAEL F TRENT & MICHAEL J MEADOR DDS INC
Entity type:Organization
Organization Name:MICHAEL F TRENT & MICHAEL J MEADOR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRES
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FLEMING
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:304-366-3910
Mailing Address - Street 1:403 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554
Mailing Address - Country:US
Mailing Address - Phone:304-366-3910
Mailing Address - Fax:304-366-5539
Practice Address - Street 1:403 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:304-366-3910
Practice Address - Fax:304-366-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty