Provider Demographics
NPI:1902824972
Name:TINITY DENTAL CARE INC
Entity Type:Organization
Organization Name:TINITY DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:727-372-2001
Mailing Address - Street 1:1843 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5363
Mailing Address - Country:US
Mailing Address - Phone:727-372-2001
Mailing Address - Fax:727-372-2400
Practice Address - Street 1:1843 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5363
Practice Address - Country:US
Practice Address - Phone:727-372-2001
Practice Address - Fax:727-372-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN154921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty