Provider Demographics
NPI:1609921469
Name:TRENT, FAITH WALKER (DDS)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:WALKER
Last Name:TRENT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13700 GENITO RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4007
Mailing Address - Country:US
Mailing Address - Phone:804-744-1877
Mailing Address - Fax:804-744-8927
Practice Address - Street 1:13700 GENITO RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4007
Practice Address - Country:US
Practice Address - Phone:804-744-1877
Practice Address - Fax:804-744-8927
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA7773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist