Organization Active NPI

Tru Dental Michigan II, PLLC

Doing business as Tru Family Dental - Bingham Farms

  • General Practice Dentistry
  • Bingham Farms, MI
National Provider Identifier
1235724527
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRU DENTAL MICHIGAN II, PLLC
Doing business as
Tru Family Dental - Bingham Farms
Practice address
30100 Telegraph Rd Ste 111
Bingham Farms, MI 48025-4515
Phone
(248) 642-5000
Fax
(248) 642-5000
NPI assigned
Mar 8, 2021
Organization subpart
Yes
Parent organization
TRU DENTAL MICHIGAN II, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

30100 Telegraph Rd Ste 111
Bingham Farms, MI 48025-4515

Mailing address

30100 Telegraph Rd Ste 111
Bingham Farms, MI 48025-4515
Phone (248) 642-5000

Other names 1

  • Tru Family Dental - Bingham Farms Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tru Dental Michigan II PLLC4 organizations share this tax ID, including this one
Part of
Tru Dental Michigan II PLLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30100 Telegraph Rd
Ste 111
Bingham Farms, MI 48025
Phone (248) 642-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1235724527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 111",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254515",
            "telephone_number": "248-642-5000",
            "fax_number": "248-642-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 111",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254515",
            "telephone_number": "248-642-5000",
            "fax_number": "248-642-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL MICHIGAN II, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL MICHIGAN II, PLLC",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Family Dental - Bingham Farms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.