MEDICARE: TRENT SAYERS DDS, PC

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

General Provider Information

NPI Number	:	1518318237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRENT SAYERS DDS, PC

Provider Business Mailing Address
First Line	:	655 SOUTHPOINTE CT
Second Line	:	SUITE 101
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3859
Country	:	US
Telephone Number	:	719-576-1355
Fax Number	:	719-576-5914

Provider Business Practice Location Address
First Line	:	655 SOUTHPOINTE CT
Second Line	:	SUITE 101
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3859
Country	:	US
Telephone Number	:	719-576-1355
Fax Number	:	719-576-5914

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRENT SAYERS
Credential	:	DDS
Telephone Number	:	719-576-1355

Provider Enumeration Date	:	06/23/2016
Last Update Date	:	06/23/2016

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