Provider Demographics
NPI:1043440795
Name:TRINITY J & S, INC.
Entity Type:Organization
Organization Name:TRINITY J & S, INC.
Other - Org Name:TRINITY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:WALIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-455-3111
Mailing Address - Street 1:2500 NE GREEN OAKS BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006
Mailing Address - Country:US
Mailing Address - Phone:817-633-4444
Mailing Address - Fax:817-633-4455
Practice Address - Street 1:2500 NE GREEN OAKS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-3000
Practice Address - Country:US
Practice Address - Phone:817-633-4444
Practice Address - Fax:817-633-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00223681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0022368OtherDENTAL LICENSE NUMBER