Earnest Leon Trent Jr, is a
Dentist based in Mason, West Virginia. Earnest Leon Trent Jr is licensed to practice in West Virginia (license number 3214) and his current practice location is
1093 2nd St, Mason, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 773-5620.
NPI number for Earnest Leon Trent Jr is 1558415653 and his current mailing address is Po Box 380, 1093 2nd St, Mason, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558415653.
Healthcare Provider's Profile
| Full Name | Earnest Leon Trent Jr |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 1093 2nd St, Mason, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558415653
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Earnest Leon Trent Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558415653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 3214 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Earnest Leon Trent Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Earnest Leon Trent Jr,
Po Box 380, 1093 2nd St,
Mason, WV 25260
Ph: (304) 773-5620 | Earnest Leon Trent Jr,
1093 2nd St,
Mason, WV 25260
Ph: (304) 773-5620 |
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