Provider Demographics
NPI:1750572301
Name:TRIGONIS, ALEX J (DDS MS)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:J
Last Name:TRIGONIS
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 STATE STREET
Mailing Address - Street 2:SUITE #4
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5518
Mailing Address - Country:US
Mailing Address - Phone:805-687-5561
Mailing Address - Fax:805-687-0810
Practice Address - Street 1:2780 STATE STREET
Practice Address - Street 2:SUITE #4
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5518
Practice Address - Country:US
Practice Address - Phone:805-687-5561
Practice Address - Fax:805-687-0810
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics