Tru Dental Illinois II PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRU DENTAL ILLINOIS II PLLC

Doing business as

Delany Dental Care

Practice address

310 S Greenleaf St Ste 201
Gurnee, IL 60031-5708

Phone

(847) 623-5530

Fax

(847) 623-5530

NPI assigned

Mar 26, 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) 540-8905

Specialties & licenses 1

Addresses

Other names 1

• Delany Dental Care 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

  dba Orchard Valley Dental

  • General Practice Dentistry
  • Aurora, IL
  • NPI 1316522766
  NPD tax ID

Locations

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1649857483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S GREENLEAF ST STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315708",
            "telephone_number": "847-623-5530",
            "fax_number": "847-623-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S GREENLEAF ST STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315708",
            "telephone_number": "847-623-5530",
            "fax_number": "847-623-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU DENTAL ILLINOIS II PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRU DENTAL ILLINOIS II PLLC",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8905"
    },
    "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": "Delany Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Towne Vision Center,LTD
• Marla Tracy, LCSW
• Momchil H Trayanov, LCSW
• Erica Trevino
• Rebecca Trojan
• Lambros Tsonis, M.D.
• Mark Tucci, M.D.
• Kelly Tudtud, PHARMD
• Coryn Beth Turner, LCSW
• Austin Tyus-Michalak, LCSW

• General Practice Dentistry in Gurnee, IL
• Providers in Gurnee, 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 26, 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.