NPI 1215368782

Trinity Endodontics of Greater Plant City

Organisation Health Maintenance Organization Plant City, FL

Practice location

Address: 1702 Walden Village CT, Plant City, FL 33566-0955
Phone: (813) 754-3636
Fax: (813) 754-4449

Authorised official

Name: Terryl M. Crawford
Title: Endodontist
Phone: (813) 754-3636

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DN16500 (FL)

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Registry record

NPI: 1215368782
Entity type: Organization
NPI issued: 9 Dec 2013
Record last updated: 9 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.