Provider Demographics
NPI:1497958623
Name:TRENT, JANNETTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANNETTE
Middle Name:
Last Name:TRENT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 W ROMNEYA DR
Mailing Address - Street 2:SUITE - D
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1815
Mailing Address - Country:US
Mailing Address - Phone:714-772-3538
Mailing Address - Fax:714-772-9624
Practice Address - Street 1:1751 W ROMNEYA DR
Practice Address - Street 2:SUITE - D
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1815
Practice Address - Country:US
Practice Address - Phone:714-772-3538
Practice Address - Fax:714-772-9624
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice