Provider Demographics
NPI:1689374712
Name:TRINITY HEALTH MINISTRIES INC.
Entity Type:Organization
Organization Name:TRINITY HEALTH MINISTRIES INC.
Other - Org Name:TRINITY DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:REIHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-681-0770
Mailing Address - Street 1:1127 E. LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804
Mailing Address - Country:US
Mailing Address - Phone:865-681-0770
Mailing Address - Fax:
Practice Address - Street 1:1127 E. LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-681-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty