Individual
DR. TRENT MICHAEL COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3580 PIEDMONT RD NE STE 113, ATLANTA, GA 30305-1506
(404) 647-4120
Mailing address
1129 KIRK PL, AUGUSTA, GA 30909-3478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015665
GA
390200000X
Student in an Organized Health Care Education/Training Program
DN015665
GA
Other
Enumeration date
03/26/2018
Last updated
07/20/2020
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