| Trinity Community Dental Clinic | |
|
121 Barbara Avenue Weaverville CA 96093 | |
| (530) 623-5541 | |
| (530) 623-6421 |
| Full Name | Trinity Community Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 Barbara Avenue, Weaverville, California |
| Authorized Official Name and Position | Alethea Higgins (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 5306235541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Community Dental Clinic P.o, Box 1229 60 Easter Avenue Weaverville CA 96093-1229 Ph: (530) 623-5541 | Trinity Community Dental Clinic 121 Barbara Avenue Weaverville CA 96093 Ph: (530) 623-5541 |
| NPI Number | 1467533000 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467533000 | NPI | - | NPPES |
| RHC08618F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 230000038 (California) | Primary |
Frederick Reese Carlin Jr Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Horseshoe Lane, Weaverville, CA 96093 Phone: 530-623-8888 |