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NPI Code Detail

MEDICARE: TRINITY FAMILY DENTAL PLLC

MEDICARE: TRINITY FAMILY DENTAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1841957107
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY FAMILY DENTAL PLLC
Provider Business Mailing Address
First Line : 8326 N SAGINAW RD
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458-1648
Country : US
Telephone Number : 810-687-5040
Fax Number : 810-687-5130
Provider Business Practice Location Address
First Line : 8326 N SAGINAW RD
Second Line :
City : MOUNT MORRIS
State : MI
Zip : 48458-1648
Country : US
Telephone Number : 810-687-5040
Fax Number : 810-687-5130
Authorized Official
Title or Position : DENTIST
Name : TRAVIS ELIAS HADDAD
Credential : DDS
Telephone Number : 810-687-5040
Provider Enumeration Date : 11/22/2021
Last Update Date : 07/15/2025

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Directions to “TRINITY FAMILY DENTAL PLLC ” Practice Location

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