Individual provider · Type 1 NPI

Trent Wayne Listello, DDS

Oral and Maxillofacial Surgery (Dentist) · Usaf Academy, CO

NPI number 1548323892 Active

Practice location

4102 Pinion Dr, 10 Mdg
Usaf Academy, CO 80840-2502

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDE00009050 (WA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDEN.00202141 (CO)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1548323892

Trent Wayne Listello, DDS's National Provider Identifier is 1548323892, issued on Dec 18, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Usaf Academy, CO. The record was last updated on Mar 14, 2018.