Provider Demographics
NPI:1245621085
Name:DENNIS C. TRIMBLE D.M.D., P.C.
Entity type:Organization
Organization Name:DENNIS C. TRIMBLE D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:TRIMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:623-937-1412
Mailing Address - Street 1:5406 W GLENN DR
Mailing Address - Street 2:SUITE # 4
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85301-2662
Mailing Address - Country:US
Mailing Address - Phone:623-937-1412
Mailing Address - Fax:623-842-3518
Practice Address - Street 1:5406 W GLENN DR
Practice Address - Street 2:SUITE # 4
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2662
Practice Address - Country:US
Practice Address - Phone:623-937-1412
Practice Address - Fax:623-842-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD02254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty