Provider Demographics
NPI:1619862356
Name:SCHROEDER, TRENTON DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:TRENTON
Middle Name:DAVID
Last Name:SCHROEDER
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 1:2265 S STATE ST APT 246
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-1403
Mailing Address - Country:US
Mailing Address - Phone:913-269-8732
Mailing Address - Fax:
Practice Address - Street 1:3816 W 13400 S STE 200
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7888
Practice Address - Country:US
Practice Address - Phone:385-533-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14222575-99261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice