Tresvant Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027070 Issued in IL

Legal business name

TRESVANT DENTAL GROUP

Practice address

1813 S Desplaines St
Unit 1
Chicago, IL 60616-1033

Phone

(312) 672-2877

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Tamaara Angela Morris, DDS

Title

Ceo

Phone

(312) 672-2877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1538306071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 S DESPLAINES ST",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161033",
            "telephone_number": "312-672-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 S DESPLAINES ST",
            "address_2": "UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161033",
            "telephone_number": "312-672-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESVANT DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TAMAARA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-672-2877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Treski, MFT, CADC, PCGC
• David J Tresley, M.D.
• Richard M Tresley, M.D.
• Megan Cairns Tress, APRN, CNP
• Richard Trester, MD
• Liliana Treto, B.S.W.
• Malgorzata Tretowicz, APRN
• Alexandra M Trevino
• Alfonso Trevino Jr., MSW
• Celeste Marie Trevino, MS LCPC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jan 20, 2009; 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.