Provider Demographics
NPI:1427190016
Name:TRENOR, MELVYN HAROLD HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELVYN
Middle Name:HAROLD HOWARD
Last Name:TRENOR
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 1:3802 COLBY AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4940
Mailing Address - Country:US
Mailing Address - Phone:425-259-6101
Mailing Address - Fax:425-259-7954
Practice Address - Street 1:3802 COLBY AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4940
Practice Address - Country:US
Practice Address - Phone:425-259-6101
Practice Address - Fax:425-259-7954
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA42681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice