Denesh K Khullar DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3448 Issued in AR

Legal business name

DENESH K KHULLAR DDS PA

Practice address

2524 Crestwood Rd Ste 2
North Little Rock, AR 72116-7648

Phone

(501) 753-7366

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Denesh Khullar, D.D.S.

Title

President

Phone

(501) 753-7366

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1124351150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241763",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 CRESTWOOD RD STE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167648",
            "telephone_number": "501-753-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENESH K KHULLAR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "DENESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-753-7366",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5Y667",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Dellinger, PTA
• Abigail Leigh Deloach, MD
• John Max Deloach Jr., MD
• Eugenia Shari Delph
• Robert Shaw Dempster, DDS
• Carol Ann Denham, OTR/L
• Christopher Brian Denham, RKT
• Megan Denhard
• Jeremy Dennis
• Dental Health Center of Arkansas, P.a.

• General Practice Dentistry in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.