Harleen Athwal, DDS
Individual provider Active NPI General Practice Dentistry · Novato, CA
NPI 1548082282 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1548082282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 110953 (CA)
- Practice address
- 852 Reichert Ave
Novato, CA 94945-4124 - Phone
- (415) 891-2312
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 110953 | CA | Yes |
Addresses
Primary practice location
852 Reichert Ave
Novato, CA 94945-4124
Mailing address
4 Admiral Dr Unit 445
Emeryville, CA 94608-1591
Phone (734) 741-3586
Other providers in Novato, CA
- Aspire Hospitalist Management Medical Group Inc
- At Home Caregivers
- At Home Caregivers
- Diba Ataie II
- Wajma Ataie
- Julia Aube
- Audiology Associates
- Kevin Austin
- Nathali Austin
- Paola Avalos
All providers in Novato, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.