Active NPI
Dhillon Dental Care L.L.C
- General Practice Dentistry
- Middleburg HTS, OH
National Provider Identifier
1295158517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.023838
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091963 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.