Trinity Dental Care LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TRINITY DENTAL CARE LLC

Practice address

1221 N Fant St
Anderson, SC 29621-4821

Phone

(864) 224-4736

Fax

(864) 752-1631

NPI assigned

Jan 15, 2011

Organization subpart

No

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

Authorized official

Name

Nicole Berkowitz

Title

Owner

Phone

(864) 225-6321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295049600000",
    "number": "1962707380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BALTIC AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214292",
            "telephone_number": "864-225-6321",
            "fax_number": "864-752-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214821",
            "telephone_number": "864-224-4736",
            "fax_number": "864-752-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-225-6321"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Alyssa Trantham
• Anna Lee Hays Travis, DPT
• Mariana S Travis, RPT
• Dale E Treash, M.D.
• Haleigh Ann Treger, DO
• Trinity Dental Center, LLC
• Trinity Dental LLC
• Trinity Dental LLC
• Trinity Family Practice
• Trinity Family Practice Anderson LLC

• Dental Clinic/Center in Anderson, SC
• Providers in Anderson, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.