DK Dhillon, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DK DHILLON, PLLC

Doing business as

Go Kids Dental and Orthodontics
Just for Kids Dentistry and Orthodontics

Practice address

9800 W Skye Canyon Park Dr Ste 120
Las Vegas, NV 89166-6630

Phone

(702) 852-1444

Fax

(702) 907-0009

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Tiffany Lorick

Title

Credentialing Specialist

Phone

(919) 948-6787

Specialties & licenses 1

Addresses

Other names 2

• Go Kids Dental and Orthodontics Doing business as
• Just for Kids Dentistry and Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1104411859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W SKYE CANYON PARK DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666630",
            "telephone_number": "702-852-1444",
            "fax_number": "702-907-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK DHILLON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "LORICK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "919-948-6787"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Go Kids Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just for Kids Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Djedje Bido
• Salome Sylvie Djigal
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• Andriana Djurdjevic
• David Djurdjevic
• DKC DMD PLLC (Las Vegas Dental Medicine)
• DKS Services (Southwest Home Health)
• DKS Services LLC (Southwest Home Health)
• DL Howard MD PHD PLLC
• DL-JT Management Services, LLC (Centennial Surgery Center, LLC)

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.