Individual
TRENT J STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 W F ST, NORTH PLATTE, NE 69101-5345
(308) 532-4142
(308) 532-1655
Mailing address
112 W F ST, NORTH PLATTE, NE 69101-5345
(308) 532-4142
(308) 532-1655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5985
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078080400
—
NE
Enumeration date
04/12/2007
Last updated
07/08/2007
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