Provider Demographics
NPI:1235395435
Name:HEGLE, TROND U (DMD)
Entity Type:Individual
Prefix:DR
First Name:TROND
Middle Name:U
Last Name:HEGLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7521 N TATUM BLVD
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3377
Mailing Address - Country:US
Mailing Address - Phone:480-381-5800
Mailing Address - Fax:
Practice Address - Street 1:7521 N TATUM BLVD
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-3377
Practice Address - Country:US
Practice Address - Phone:480-381-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7585122300000X, 122300000X
MI2901020365122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist