Individual
MRS. SUMMER TRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
968 1ST INFANTRY DIVISION RD, FORT KNOX, KY 40121-5210
(502) 626-8303
Mailing address
1700 ORIOLE DR, ELIZABETHTOWN, KY 42701-5405
(717) 440-1254
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH06979
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH069979
MILITARY
PA
Enumeration date
06/27/2022
Last updated
06/27/2022
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