Provider Demographics
NPI:1265240246
Name:SNOW, TRENT RICHAN (DMD)
Entity type:Individual
Prefix:DR
First Name:TRENT
Middle Name:RICHAN
Last Name:SNOW
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 1:10 DIAGONAL ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2817
Mailing Address - Country:US
Mailing Address - Phone:435-628-3773
Mailing Address - Fax:
Practice Address - Street 1:10 DIAGONAL ST STE 203
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2817
Practice Address - Country:US
Practice Address - Phone:435-628-3773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14135781-99261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics