Healthcare Provider Details

I. General information

NPI: 1003602079
Provider Name (Legal Business Name): TRENTON RYAN GINTER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SW 36TH TER UNIT 1
OCALA FL
34474-7404
US

IV. Provider business mailing address

2600 S UNIVERSITY DR APT 217
DAVIE FL
33328-1465
US

V. Phone/Fax

Practice location:
  • Phone: 352-390-3699
  • Fax:
Mailing address:
  • Phone: 941-405-2786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: