Provider Demographics
NPI:1659534485
Name:TRAPNELL, JEFFREY L (DDS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:TRAPNELL
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 1:1627 E 970 S
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-3850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3610 N UNIVERSITY AVE
Practice Address - Street 2:SUITE #175
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4437
Practice Address - Country:US
Practice Address - Phone:801-344-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6799005-99211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics