Tru Dental Illinois II PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRU DENTAL ILLINOIS II PLLC

Doing business as

Orchard Valley Dental

Practice address

2418 W Indian TRL Ste E
Aurora, IL 60506-1590

Phone

(630) 907-2180

Fax

(630) 907-2180

NPI assigned

Mar 16, 2021

Organization subpart

Yes

Parent organization

TRU DENTAL ILLINOIS II PLLCAs reported in NPPES

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

Addresses

Other names 1

• Orchard Valley Dental Doing business as

Tax ID family

Tru Dental Illinois II PLLC2 organizations share this tax ID, including this one

Part of

Tru Dental Illinois II PLLC

Other organizations with this tax ID 1

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

• Tru Dental Illinois II PLLC

  • General Practice Dentistry
  • Gurnee, IL
  • NPI 1649857483
  NPD tax ID

Locations

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1316522766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W INDIAN TRL STE E",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061590",
            "telephone_number": "630-907-2180",
            "fax_number": "630-907-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W INDIAN TRL STE E",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061590",
            "telephone_number": "630-907-2180",
            "fax_number": "630-907-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL ILLINOIS II PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL ILLINOIS II PLLC",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "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": "Orchard Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angie Tripathi, M.S
• Christina Marie Trochowski
• Gianna Trombino, LCSW
• Deidra Trout
• Jillian Troxell, RN
• Jessica Rose Trudeau, LSW
• Hung Shing Tsang, M.D.
• Mariana Tsigistras
• Leonna Tubbs
• Marcela Tubon

• General Practice Dentistry in Aurora, IL
• Providers in Aurora, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.