Individual provider Active NPI

Shubhpreet K Dhillon, DMD

  • Dentist
  • Rochester Hills, MI
National Provider Identifier
1407118300
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020724 Issued in MI
Practice address
940 W Avon Rd Ste 12
Rochester Hills, MI 48307-2760
Phone
(248) 652-7172
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020724 MI Primary

Addresses

Primary practice location

940 W Avon Rd Ste 12
Rochester Hills, MI 48307-2760

Mailing address

2673 Invitational Dr
Oakland, MI 48363-2456
Phone (248) 894-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729002053 MI Order and Referring Only - DentistPractitioner - Dentist 6305139296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020724MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dhillon Dental, PLLC Dentist CurrentSince Mar 20, 2022 Accepting new patients

Locations

940 W Avon Rd
Ste 12
Rochester Hills, MI 48307
Phone (248) 652-7172

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1407118300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 INVITATIONAL DR",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483632456",
            "telephone_number": "248-894-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD STE 12",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-652-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "SHUBHPREET",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.