| Trinity Dental | |
|
900 S Main St Kendallville IN 46755-2025 | |
| (260) 582-2607 | |
| (260) 494-1218 |
| Full Name | Trinity Dental |
|---|---|
| Speciality | Dentist |
| Location | 900 S Main St, Kendallville, Indiana |
| Authorized Official Name and Position | Tyrone Smith (DENTIST/OWNER) |
| Authorized Official Contact | 2605822607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Dental 900 South Main Street Kendallville IN 46755-2525 Ph: (260) 582-2607 | Trinity Dental 900 S Main St Kendallville IN 46755-2025 Ph: (260) 582-2607 |
| NPI Number | 1972985539 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972985539 | NPI | - | NPPES |
| 201025790 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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