Provider Demographics
NPI:1548459613
Name:TREGRE, TROY J (DDS)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:J
Last Name:TREGRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 CENTER STREET
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:TX
Mailing Address - Zip Code:77536
Mailing Address - Country:US
Mailing Address - Phone:281-479-2841
Mailing Address - Fax:281-479-6238
Practice Address - Street 1:4518 CENTER STREET
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536
Practice Address - Country:US
Practice Address - Phone:281-479-2841
Practice Address - Fax:281-479-6238
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX160221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice