Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Trevor Tate Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205640901

Mr. Trevor Tate Anderson is a Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

5704 N May Ave
Oklahoma City, OK 73112-4352
Phone: (405) 843-9731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 S Preston St, Louisville, KY 40202-1701 — (502) 852-5096

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7994 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205640901
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

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