Organization Active NPI

B Dhillon Dental Corp

Doing business as Montclair Smile Design

  • Dental Clinic/Center
  • Oakland, CA
National Provider Identifier
1225809270
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
B DHILLON DENTAL CORP
Doing business as
Montclair Smile Design
Practice address
6200 Antioch St Ste 201
Oakland, CA 94611-2954
Phone
(510) 339-0277
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Baljit Dhillon, DDSNPI 1780107359
Title
Director
Phone
(559) 824-2869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

6200 Antioch St Ste 201
Oakland, CA 94611-2954

Mailing address

6200 Antioch St Ste 201
Oakland, CA 94611-2954

Other names 1

  • Montclair Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

6200 Antioch St
Ste 201
Oakland, CA 94611
Phone (510) 339-0277

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1225809270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 ANTIOCH ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 ANTIOCH ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112954",
            "telephone_number": "510-339-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B DHILLON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "BALJIT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-824-2869",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.