Individual provider · Type 1 NPI
Timothy V. Erdle, DMD
Periodontics · Gurnee, IL
NPI number
1962816603
Active
Practice location
310 Tri State Pkwy Ste 100
Gurnee, IL 60031-5282
Mailing address
2424 Oak Tree Ln
Park Ridge, IL 60068-1522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | DS039810 (PA) |
| Periodontics Primary | 1223P0300X | 019030597 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Gurnee
About NPI 1962816603
Timothy V. Erdle, DMD's National Provider Identifier is 1962816603, issued on Jun 19, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Gurnee, IL. The record was last updated on Mar 10, 2023.