TRENT PRYOR (NPI# 1780813691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780813691 |
| Entity Type | Individual |
| Full Name | TRENT PRYOR |
| Credential | D.M.D |
| Practice Address |
1411 Falls Ave E Suite 1000c Twin Falls ID 83301-3455 |
| Practice Telephone | 2087347415 |
| Practice Fax Number | 2087347484 |
| Mailing Telephone | 2087347415 |
| Mailing Fax Number | 2087347484 |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2012-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-4217 | ID | Dental Providers |
| Street Address |
1411 FALLS AVE E SUITE 1000C |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821036724 | Intermountain Spine and Orthopedics, PC | Family Medicine | 1411 Falls Ave E, Suite 1301, Twin Falls, ID 83301-3455 | 2006-06-03 |
| 1144509084 | Ford Family Eye Care, P.C. | Optometrist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-08-09 |
| 1215233952 | David Tyler Billings | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-27 |
| 1427354257 | Michael William Sprague | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2011-01-26 |
| 1659682912 | Joshua Alan Jenkins | Dentist | 1411 Falls Ave E, #1000c, Twin Falls, ID 83301-3455 | 2010-07-01 |
| 1922279785 | Wright Physical Therapy, LLC | Physical Therapist | 1411 Falls Ave E, Suite 105, Twin Falls, ID 83301-3455 | 2008-03-19 |
| 1417162728 | Inclusion South, Inc | Nursing Care | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-11 |
| 1285855759 | Inclusion South, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E, #205, Twin Falls, ID 83301-3455 | 2007-05-01 |
| 1063635696 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mental Illness | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| 1972726503 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193869 | Dallin C Young | Dentist | 1186 Eastland Dr N, Suite B, Twin Falls, ID 83301-8973 | 2005-09-07 |
| 1215426689 | Twin Falls Kids Dental LLC Childrens Dentistry of Twin Falls | Dentist | 1186 Eastland Dr N Ste B, Twin Falls, ID 83301-8973 | 2018-05-01 |
| 1740643303 | Andrew Keith Richards | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301 | 2016-03-31 |
| 1922467992 | Michael Pysnak | Dentist | 1186 Eastland Dr N, Twin Falls, ID 83301-8973 | 2016-02-18 |
| 1558709527 | Ryan Matthew Nielson | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2013-06-11 |
| 1659682912 | Joshua Alan Jenkins | Dentist | 1411 Falls Ave E, #1000c, Twin Falls, ID 83301-3455 | 2010-07-01 |
| 1811146327 | Smiles 4 Kids, LLC | Dentist | 1411 Falls Ave E Ste 1000c, Twin Falls, ID 83301-3459 | 2008-09-09 |
| 1417119330 | Dallin C. Young, D.d.d, P.a. | Dentist | 1186 Eastland Dr N, Suite B, Twin Falls, ID 83301-8973 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1902325749 | Cherry Lane Kids Dentistry | Dentist | 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 | 2017-09-13 |
| 1922462142 | Our Town Family Dentistry | Dentist | 39 W Idaho St, Weiser, ID 83672-1943 | 2016-04-13 |
| 1720447097 | Brock Coletti | Dentist | 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 | 2016-02-15 |
| 1154799047 | Smiles 4 Kids Blackfoot Pllc | Dentist | 621 Jensen Grove Dr, Blackfoot, ID 83221-1685 | 2015-09-09 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1679812002 | Dentistry for Kids Pllc | Dentist | 625 E Alameda Rd., Pocatello, ID 83201 | 2013-02-05 |
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on TRENT PRYOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.