Individual
JAY TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 GAYLE ST STE NO100, GARDENDALE, AL 35071-3055
(205) 273-8552
Mailing address
7233 COTTONWOOD DR, SHAWNEE, KS 66216-3785
(913) 808-7913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62129
KS
122300000X
Dentist
Primary
D007594-C1
AL
1223G0001X
General Practice Dentistry
2024044394
MO
Other
Enumeration date
06/13/2024
Last updated
02/25/2026
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