Provider Demographics
NPI:1295706778
Name:TROST, DENNIS KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:KEITH
Last Name:TROST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6655 S YALE AVE
Mailing Address - Street 2:LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3326
Mailing Address - Country:US
Mailing Address - Phone:918-491-5800
Mailing Address - Fax:918-491-5740
Practice Address - Street 1:6655 S YALE AVE
Practice Address - Street 2:LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3326
Practice Address - Country:US
Practice Address - Phone:918-491-5800
Practice Address - Fax:918-491-5740
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OK155072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
2031389OtherCIGNA BEHAVIORAL HEALTH
OKD35365Medicare UPIN