Provider Demographics
NPI:1295817732
Name:GLASER, TRENT N (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRENT
Middle Name:N
Last Name:GLASER
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 1:5780 N. CAREFREE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917
Mailing Address - Country:US
Mailing Address - Phone:719-597-9737
Mailing Address - Fax:719-597-1420
Practice Address - Street 1:5780 N. CAREFREE CIRCLE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917
Practice Address - Country:US
Practice Address - Phone:719-597-1420
Practice Address - Fax:719-597-1420
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00201971122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist