Harkirat Kaur Dhillon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103925 Issued in CA

Practice address

15366 S Harlan Rd
Lathrop, CA 95330-8732

Phone

(209) 645-0032

NPI assigned

Jul 2, 2019

Last updated

Mar 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Harkirat Kaur Gill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Harkirat Dhillon DDS Inc

  dba Royal Dental Care

  • General Practice Dentistry
  • Patterson, CA
  • NPI 1326625401
  NPD Authorized official

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1669034351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 N ACACIA AVE",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669597",
            "telephone_number": "209-380-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 S HARLAN RD",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308732",
            "telephone_number": "209-645-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "HARKIRAT",
        "middle_name": "KAUR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARKIRAT",
            "last_name": "GILL",
            "middle_name": "KAUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edwin Bulaong Del Rosario, NP
• Kelvin Clarence Aquilizan Derrada
• Destiny Assisted Living LLC
• Jasroop Jit Dhaliwal
• Dhillon Dental Incorporated (Plume Dental)
• Japneet Singh Dhillon
• Yulissa Diaz Villa
• Leilani Diaz
• Sara Elsharif
• Matthew Erilim

• General Practice Dentistry in Lathrop, CA
• Providers in Lathrop, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.