MEDICARE: MR. TRENTON TOMPKINS 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	122300000X	Dentist	28181	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8Y1890	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1386757763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TRENTON TOMPKINS DDS

Provider Business Mailing Address
First Line	:	111 WILLOW SPRINGS DR
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-5240
Country	:	US
Telephone Number	:	512-878-2540
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 WILLOW SPRINGS DR
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-5240
Country	:	US
Telephone Number	:	512-878-2540
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/10/2018

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Directions to “ MR. TRENTON TOMPKINS DDS” Practice Location

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