Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8787 | TN |
NPI | 1093925497 |
---|---|
Provider Name | Troy A Trondson |
First Address | Maryville, TN 37804-5131 |
Second Address | Maryville, TN 37804-5131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 10/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1504119 | (05) | TN |
8787 | LICENSE (01) | TN |