MEDICARE: TRENT ANTHONY SAYERS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	10594	CO

General Provider Information

NPI Number	:	1073926259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENT ANTHONY SAYERS DDS

Provider Business Mailing Address
First Line	:	5145 CENTENNIAL BLVD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-4426
Country	:	US
Telephone Number	:	719-593-0263
Fax Number	:	719-593-0287

Provider Business Practice Location Address
First Line	:	5145 CENTENNIAL BLVD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-4426
Country	:	US
Telephone Number	:	719-593-0263
Fax Number	:	719-593-0287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	07/05/2023

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