Neil Dhillon DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036127 Issued in PA

Legal business name

NEIL DHILLON DMD PC

Practice address

1100 Macdade Blvd
Woodlyn, PA 19094-1322

Phone

(610) 833-1919

Fax

(610) 833-1319

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Neil Dhillon, DMD

Title

President

Phone

(610) 833-1919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245352566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MACDADE BLVD",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190941322",
            "telephone_number": "610-833-1919",
            "fax_number": "610-833-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MACDADE BLVD",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190941322",
            "telephone_number": "610-833-1919",
            "fax_number": "610-833-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL DHILLON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-833-1919",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1680249",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Woodlyn, PA
• Providers in Woodlyn, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.