Healthcare Provider Details

I. General information

NPI: 1528651361
Provider Name (Legal Business Name): TRENT EVERETT FINLEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2021
Last Update Date: 02/21/2021
Certification Date: 02/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 LEES SUMMIT RD
KANSAS CITY MO
64139-1236
US

IV. Provider business mailing address

4702 NW FLINTRIDGE RD
RIVERSIDE MO
64150-1154
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-6885
  • Fax:
Mailing address:
  • Phone: 573-777-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2020022415
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: