Kelly, Trent Merrill

Kelly, Trent Merrill is an sole proprietor health care provider with primary practice located at 1991 W Broadway St , Idaho Falls ID 83402-3041. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kelly, Trent Merrill can be contacted via phone (208) 999-4746.

Contact Information

Primary practice address
1991 W Broadway St Idaho Falls ID 83402-3041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30023683 Ohio

Profile Details

NPI number 1952663460
LBN Legal business name Kelly, Trent Merrill
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Nov 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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