| Organization Name: | TRINITY ENDODONTICS OF GREATER PLANT CITY |
| NPI Number: | 1215368782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRYL M. CRAWFORD (ENDODONTIST) |
| Mailing Address: | 1702 Walden Village Ct Plant City |
| State: | FL US |
| Postal Code: | 335660955 |
| Phone Number: | 8137543636 |
| Fax Number: | 8137544449 |
| NPI Enumeration Date: | 12/09/2013 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | DN16500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |