Trinity Endodontics of Greater Winter Haven

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

DN16500 Issued in FL

Legal business name

TRINITY ENDODONTICS OF GREATER WINTER HAVEN

Practice address

317 Cypress Gardens Blvd
Winter Haven, FL 33880

Phone

(863) 875-4823

Fax

(863) 875-5564

NPI assigned

Jul 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Terryl M. Crawford, DMD, MSD

Title

Dentist

Phone

(863) 875-4823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1356724264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804452",
            "telephone_number": "863-875-4823",
            "fax_number": "863-875-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33880",
            "telephone_number": "863-875-4823",
            "fax_number": "863-875-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ENDODONTICS OF GREATER WINTER HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TERRYL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "863-875-4823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "DN16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uyen Thuy Tran, PA-C
• Tranchau Hoang DMD, PLLC
• Stephanie Taylor Treadwell
• Valeria Patricia Trelles Garcia, MD
• Juliana Marra Trimarche, COTA/L
• Trinity Medical Group
• Trinity Medical Physicians, LLC
• Trinity Medical Physicians, LLC
• Sara Triplett
• Richard Earl Trippensee, DDS

• Health Maintenance Organization in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.