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DR. TIMOTHY V ERDLE D.M.D.
NPI 1962816603
Dentist - Periodontics in Gurnee, IL

Active since June 19, 2014
310 TRI STATE PKWY STE 100, GURNEE, IL 60031(847) 662-3414 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, May 1, 2018 (2 updates tracked since 2018).

About Dr. Timothy V Erdle D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY V ERDLE D.M.D. (NPI 1962816603) is an individual periodontics provider in Gurnee, Illinois, licensed in Illinois (019030597) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1962816603
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TIMOTHY V ERDLECredential: D.M.D.
Location Address310 TRI STATE PKWY STE 100Gurnee, IL 60031-5282
Mailing Address2424 Oak Tree LnPark Ridge, IL 60068-1522 · (408) 482-7023
Phone(847) 662-3414
Sole ProprietorNo
Enumeration DateJune 19, 2014
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1962816603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in IL · 019030597✔ Licensed in PA · DS039810
Definition
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.
310 TRI STATE PKWY STE 100, Gurnee, IL 60031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY V ERDLE DMD PLLC
Clinic/Center (Multi-Specialty)
310 TRI STATE PKWY STE 100
GURNEE, IL 60031
Lake County (847) 662-3414
DR. RYAN DREW BOGARD DDS
Dentist (Periodontics)
310 TRI STATE PKWY STE 100
GURNEE, IL 60031
Lake County (314) 583-3104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Erdle's NPI number?

The NPI number for Timothy Erdle is 1962816603. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Timothy Erdle located?

Timothy Erdle practices at 310 Tri State Pkwy Ste 100, Gurnee, IL 60031. The listed phone number is (847) 662-3414.

What is Timothy Erdle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Timothy Erdle accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Timothy Erdle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Erdle was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.