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Organization

TRINITY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TYRONE SMITH DDS (DENTIST/OWNER)
(260) 582-2607
Entity
Organization

Contact information

Practice address
900 S MAIN ST, KENDALLVILLE, IN 46755-2025
(260) 582-2607
(260) 494-1218
Mailing address
900 SOUTH MAIN STREET, KENDALLVILLE, IN 46755-2525
(260) 582-2607
(260) 494-1218

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201025790
IN
Enumeration date
06/19/2015
Last updated
06/19/2015
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