Individual provider · Type 1 NPI

Easton Johnson Trejo, DDS

General Practice Dentistry · Mountain Home Afb, ID

NPI number 1366037962 Active

Practice location

90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062

Mailing address

8447 Bear Loop
Mountain Home Afb, ID 83648-5101

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XD-5603 (ID)
General Practice Dentistry 1223G0001X13899316-9925 (UT)
General Practice Dentistry Primary 1223G0001X37873 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1366037962

Easton Johnson Trejo, DDS's National Provider Identifier is 1366037962, issued on Mar 4, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jul 28, 2025.