Timothy V. Erdle, D.M.D.

Periodontics · Gurnee, IL

Individual Active NPI

NPI number 1962816603

Practice location

310 Tri State Pkwy Ste 100
Gurnee, IL 60031-5282
Phone
(847) 662-3414

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NPI record

NPI
1962816603
Entity type
Individual (Type 1)
Enumeration date
June 19, 2014
Last updated
March 10, 2023
Certified
March 10, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 019030597 IL
Periodontics 1223P0300X DS039810 PA

Mailing address

2424 Oak Tree Ln
Park Ridge, IL 60068-1522
Phone
(408) 482-7023

About Dr. Erdle

Timothy V. Erdle, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 310 Tri State Pkwy Ste 100, Gurnee, IL 60031-5282. The NPI number 1962816603 was assigned on June 19, 2014 and the record was last updated on March 10, 2023.

Dr. Erdle lists 2 licenses in the registry: #019030597 (IL) for Periodontics; #DS039810 (PA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy V. Erdle, D.M.D.?

The NPI number is 1962816603.

What is the phone number of Dr. Erdle?

The phone number listed for the practice location is (847) 662-3414.

Where is Dr. Erdle located?

310 Tri State Pkwy Ste 100, Gurnee, IL 60031-5282.

What is the taxonomy code for Dr. Erdle?

The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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