Individual
TREVOR DEERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 W SOUTH BOULDER RD STE 201, LAFAYETTE, CO 80026-8910
(720) 759-3240
Mailing address
801 N 49TH ST, OMAHA, NE 68132-2405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00205174
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
05/03/2022
Last updated
10/30/2025
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