Provider Demographics
NPI:1073926259
Name:SAYERS, TRENT ANTHONY (DDS)
Entity Type:Individual
Prefix:
First Name:TRENT
Middle Name:ANTHONY
Last Name:SAYERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 CENTENNIAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-4426
Mailing Address - Country:US
Mailing Address - Phone:719-593-0263
Mailing Address - Fax:719-593-0287
Practice Address - Street 1:5145 CENTENNIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-4426
Practice Address - Country:US
Practice Address - Phone:719-593-0263
Practice Address - Fax:719-593-0287
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice