1982864310 NPI number — DR. JAMES ROWLAND TROTT D.D.S.

Table of content: DR. JAMES ROWLAND TROTT D.D.S. (NPI 1982864310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982864310 NPI number — DR. JAMES ROWLAND TROTT D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROTT
Provider First Name:
JAMES
Provider Middle Name:
ROWLAND
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982864310
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ST. VINCENT ADVENTIST DENTAL CLINIC
Provider Second Line Business Mailing Address:
BLOCK 2000, OLD MONTROSE, P.O. BOX 60
Provider Business Mailing Address City Name:
KINGSTOWN
Provider Business Mailing Address State Name:
ST. VINCENT ISLAND
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
VC
Provider Business Mailing Address Telephone Number:
784-457-9877
Provider Business Mailing Address Fax Number:
784-457-9518

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5601 W HILLSDALE AVE
Provider Second Line Business Practice Location Address:
SEQUOIA DENTAL OFFICE
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93291-5136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-635-7186
Provider Business Practice Location Address Fax Number:
559-635-7188
Provider Enumeration Date:
06/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  30700 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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