Provider Demographics
NPI:1174075337
Name:FAITH W. TRENT, DDS
Entity type:Organization
Organization Name:FAITH W. TRENT, DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:W
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-744-1877
Mailing Address - Street 1:13700 GENITO RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4007
Mailing Address - Country:US
Mailing Address - Phone:804-744-1877
Mailing Address - Fax:804-744-8927
Practice Address - Street 1:13700 GENITO RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4007
Practice Address - Country:US
Practice Address - Phone:804-744-1877
Practice Address - Fax:804-744-8927
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty