Provider Demographics
NPI:1457977894
Name:TRAINOR, COLLIN RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:RAY
Last Name:TRAINOR
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 1:6501 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-8774
Mailing Address - Country:US
Mailing Address - Phone:608-220-2938
Mailing Address - Fax:
Practice Address - Street 1:344 S YELLOWSTONE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-4321
Practice Address - Country:US
Practice Address - Phone:608-836-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1002326122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist