Trinity Endodontics

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

DN16500 Issued in FL

Legal business name

TRINITY ENDODONTICS

Practice address

1602 S. Florida Ave, Ste #1
Lakeland, FL 33803

Phone

(863) 413-9773

Fax

(863) 688-2960

NPI assigned

Nov 4, 2013

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, D.M.D.,M.S.D.

Title

Endodontist

Phone

(863) 413-9773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1710316336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 S. FLORIDA AVE, STE #1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-413-9773",
            "fax_number": "863-688-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S. FLORIDA AVE, STE #1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33803",
            "telephone_number": "863-413-9773",
            "fax_number": "863-688-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "TERRYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "863-413-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "DN16500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Diane Trice, PSYD, LCPC, LMT
• Antonio Trindade, M.D.
• Teresa Trinidad Calderon, RN
• Leslie Trinidad
• Trinity Christian Counseling Services
• Trinity Home Service LLC
• Trinity Home Service LLC
• Trinity Home Service LLC
• Trinity Medical Physicians, LLC
• Trinity Medical Physicians, LLC

• Health Maintenance Organization in Lakeland, FL
• Providers in Lakeland, 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 Nov 4, 2013; 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.