Organization Active NPI

Dhillon Dental Care L.L.C

  • General Practice Dentistry
  • Middleburg HTS, OH
National Provider Identifier
1295158517
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023838 Issued in OH
Legal business name
DHILLON DENTAL CARE L.L.C
Practice address
18660 Bagley Road
Medical BLDG 2 Suite 304
Middleburg HTS, OH 44130
Phone
(440) 826-0423
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Azalpreet Kaur Dhillon, B.D.S
Title
Owner
Phone
(440) 826-0423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.023838 OH Primary

Addresses

Primary practice location

18660 Bagley Road
Medical BLDG 2 Suite 304
Middleburg HTS, OH 44130

Mailing address

18660 Bagley Road
Medical BLDG 2 Suite 304
Middleburg HTS, OH 44130
Phone (440) 826-0423

Other identifiers 1

IdentifierTypeStateIssuer
0091963MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1295158517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY ROAD",
            "address_2": "MEDICAL BLDG 2 SUITE 304",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-826-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18660 BAGLEY ROAD",
            "address_2": "MEDICAL BLDG 2 SUITE 304",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-826-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHILLON DENTAL CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "AZALPREET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-826-0423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091963",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.