Individual
TRENT WILLIAM ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4891 OLD YORK RD, ROCK HILL, SC 29732-8375
(803) 326-0100
Mailing address
4424 GOLDEN VIEW DR, CHARLOTTE, NC 28278-0205
(817) 705-7639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10327
SC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS042900
PA
Other
Enumeration date
08/28/2020
Last updated
11/11/2022
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