Provider Demographics
NPI:1184805004
Name:HIRE, TRENT ASHLEY (DDS)
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:ASHLEY
Last Name:HIRE
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 1:118 E SECOND ST
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1401
Mailing Address - Country:US
Mailing Address - Phone:419-874-5002
Mailing Address - Fax:419-874-9583
Practice Address - Street 1:118 E SECOND ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1401
Practice Address - Country:US
Practice Address - Phone:419-874-5002
Practice Address - Fax:419-874-9583
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH21976122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist