Most Relevant Information
Provider Data
| NPI Number: | 1003394438 |
| Provider Name: | TRENT KIRKWOOD DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 12013010A |
Most Important Dates
| Enumeration Date: | 07/28/2018 |
| Last Updated: | 07/28/2018 |
Provider Practice Location
101 N STATE ST
GREENFIELD
IN
461402177
Practice Location Phone/Fax
| Phone: | 3174623456 |
| Fax: | 3174623465 |
Provider Mailing Location
101 N STATE ST
GREENFIELD
IN
461402177
Provider Mailing Phone/Fax
| Phone: | 3174623456 |
| Fax: | 3174623465 |