NPIMap

Organization Active NPI

Tru Dental Michigan II, PLLC

  • General Practice Dentistry
  • Clinton Township, MI
National Provider Identifier
1518548734
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRU DENTAL MICHIGAN II, PLLC
Practice address
37450 Garfield Rd Ste 100
Clinton Township, MI 48036-3657
Phone
(586) 286-9060
Fax
(586) 286-9060
NPI assigned
Apr 19, 2021
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TRU DENTAL MICHIGAN II, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

37450 Garfield Rd Ste 100
Clinton Township, MI 48036-3657

Mailing address

37450 Garfield Rd Ste 100
Clinton Township, MI 48036-3657
Phone (586) 286-9060

Other names 1

  • Tru Family Dental - Clinton Township Former legal business name

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1518548734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD STE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-286-9060",
            "fax_number": "586-286-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD STE 100",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-286-9060",
            "fax_number": "586-286-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL MICHIGAN II, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL MICHIGAN II, PLLC",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "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": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tru Family Dental - Clinton Township",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.