Individual
DR. TRENT C CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9227
KY
1223G0001X
General Practice Dentistry
15418
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15418
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
66167
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9227
KY
Other
Enumeration date
05/04/2012
Last updated
12/08/2020
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