Provider Demographics
NPI:1619289956
Name:SMITH, TREVOR HAMILTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:HAMILTON
Last Name:SMITH
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 1:10405 MEINERT RD
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9545
Mailing Address - Country:US
Mailing Address - Phone:814-931-0215
Mailing Address - Fax:
Practice Address - Street 1:4725 MCKNIGHT RD STE 211
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-366-6900
Practice Address - Fax:412-366-2442
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0383561223G0001X
MNR4861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice