TRINITY DENTAL LLC (NPI# 1609146653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609146653 |
| Entity Type | Organization |
| Organization Name | TRINITY DENTAL LLC |
| Practice Address |
1221 N Fant St Anderson SC 29621-4821 |
| Mailing Address |
Po Box 202 Anderson SC 29622-0202 |
| Practice Telephone | 8642244736 |
| Practice Fax Number | 8647521631 |
| Mailing Telephone | 8642244736 |
| Mailing Fax Number | 8647521631 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | NICOLE BERKOWITZ (MANGER) |
| Authorized Official Telephone | 8642256321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
3151 | SC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257773 | Trinity Dental LLC | Clinic/Center | 1221 N Fant St, Anderson, SC 29621-4821 | 2013-02-18 |
| Street Address |
1221 N FANT ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982780029 | Robert Alan Berkowitz | Dentist | 1221 N Fant St, Anderson, SC 29621 | 2006-10-31 |
| 1013257773 | Trinity Dental LLC | Clinic/Center | 1221 N Fant St, Anderson, SC 29621-4821 | 2013-02-18 |
| 1962707380 | Trinity Dental Care LLC | Clinic/Center | 1221 N Fant St, Anderson, SC 29621-4821 | 2011-01-15 |
| 1215119227 | Trinity Dental Center, LLC | Clinic/Center | 1221 N Fant St, Anderson, SC 29621-4821 | 2007-11-30 |
| 1104006154 | Carolina Diabetes and Endocrinology | Internal Medicine | 1221 N Fant St, Anderson, SC 29621-4821 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242067 | Viola Marie Martin | Clinic/Center | 929 N Highway 71, Anderson, MO 64831-9753 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1710502455 | Powdersville Wellness, LLC | Clinic/Center | 215 Siloam Rd, Easley, SC 29642-8214 | 2020-06-09 |
| 1366088460 | Preferred Health Solutions | Clinic/Center | 220 Sturton Dr, Lexington, SC 29072-6938 | 2019-11-23 |
| 1932612439 | Drumm Enterprises, Inc | Clinic/Center | 12 Waite St Ste A1, Greenville, SC 29607-3215 | 2017-11-07 |
| 1659805927 | Alexandra Johnson | Clinic/Center | 544 Mansfield Ln, Columbia, SC 29203-9098 | 2017-04-13 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1578915401 | Biospine Health and Welness, LLC | Clinic/Center | 542 Ben Gause Rd, Coward, SC 29530-5127 | 2016-07-03 |
| 1144674532 | Pediatric Hair Solutions Corporation | Clinic/Center | 217 Pickens St, Columbia, SC 29205-2911 | 2016-04-21 |
| 1992169163 | Palmetto Personal Home Kare | Clinic/Center | 105 N Richardson St, Latta, SC 29565-1630 | 2016-04-13 |
| 1316301146 | Pediatric Hair Solutions Corporation | Clinic/Center | 319 Garlington Rd, Suite C-7, Greenville, SC 29615-4620 | 2016-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.