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Provider Information for 1144550773

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. TATIANA TROTT DDS

Gender: FEMALE

Individual NPI: 1144550773

Calendar   Last Updated:  2011-12-22
  Certification Date: 

Details

Name Value
NPI 1144550773
Enumeration Date 2010-01-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1057 12TH AVE
LONGVIEW, WA 98632-2509
United States

Phone: 360-636-3892 | Fax: 360-414-1114
View Map External Link
Primary Practice Address 21610 PACIFIC HWY
OCEAN PARK, WA 98640
United States

Phone: 360-665-3000 | Fax: 360-665-3096
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID WA 2006950
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist WA DE60135332
No 122300000X - Dentist CA 58977