Organization · Type 2 NPI

Tru Dental Illinois, P.c.

General Practice Dentistry · Crystal Lake, IL

NPI number 1902481369 Active

Practice location

781 S Mchenry Ave Ste A
Crystal Lake, IL 60014-7444

Fax (815) 459-3740

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1902481369
Entity type: Organization (Type 2)
Issued: Mar 16, 2021
Last updated: Mar 16, 2021
Status: Active
Subpart: Yes of Tru Dental Illinois, P.c.

Other names

Tru Family Dental - Crystal Lake · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902481369

Tru Dental Illinois, P.c.'s National Provider Identifier is 1902481369, issued on Mar 16, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Crystal Lake, IL. The record was last updated on Mar 16, 2021.