Provider Demographics
NPI:1457459612
Name:QUICK, TREVOR FLOYD (DMD)
Entity Type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:FLOYD
Last Name:QUICK
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 1:100 INDIAN ROCKS RD N STE 12
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1770
Mailing Address - Country:US
Mailing Address - Phone:727-518-2333
Mailing Address - Fax:727-518-2330
Practice Address - Street 1:100 INDIAN ROCKS RD N STE 12
Practice Address - Street 2:
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-1770
Practice Address - Country:US
Practice Address - Phone:727-518-2333
Practice Address - Fax:727-518-2330
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 165911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice