Trent William Roberts, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10327 Issued in SC

Practice address

4891 Old York Rd
Rock Hill, SC 29732-8375

Phone

(803) 326-0100

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edp of Pennsylvania PC

  • Dental Clinic/Center
  • Johnstown, PA
  • NPI 1366958407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1740893791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 GOLDEN VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282780205",
            "telephone_number": "817-705-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 OLD YORK RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328375",
            "telephone_number": "803-326-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462504",
            "country_code": "US",
            "telephone_number": "412-646-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Fleet St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152202921",
            "country_code": "US",
            "telephone_number": "412-937-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TRENT",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS042900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RJP Enterprises Inc (Synergy HomeCare)
• Ulyleess Roach Roach
• Braden Roark, PA-C
• Tashiba Roberson, MSW, CACP
• Robert Wozniak MD PA (Lancaster Endocrinology)
• Chelsea Robinson, DC
• Danny Ray Robinson Jr., CRNA
• Elizabeth Cranford Robinson, DMD
• Joe C Robinson, M.D.
• Jonathan M Robinson, O.D.

• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.