Mannat Kaur Dhillon

Primary specialty

DentistTaxonomy code 122300000X

License

61392326 Issued in WA

Practice address

5006 E Lake Sammamish Pkwy SE
Issaquah, WA 98029-9220

Phone

(425) 414-7419

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mannat K.Dhillon,DDS , PLLC

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1861186819
  NPD Authorized official

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1063128155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 178TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065932",
            "telephone_number": "720-979-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 E LAKE SAMMAMISH PKWY SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980299220",
            "telephone_number": "425-414-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "MANNAT",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61392326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaitra Elise Devereaux, PSYD
• Jennifer Michelle Devine, MD
• Avneet Kaur Dhaliwal, DMD
• Hardeep Dhaliwal, MD, DMD
• Jasonpreet Dhaliwal, OD
• Christina Lynn Diamonti, PSYD
• Karem Diaz
• Veronica Itzel Diaz, LMHCA
• Seema Diddee, MD
• Andrew Erik Didricksen, DPT

• Dentist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.