Individual provider Active NPI

Upinder Dhillon, DMD

  • General Practice Dentistry
  • Galloway, NJ
National Provider Identifier
1700917978
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI002661100 Issued in NJ
Practice address
200 E Jimmie Leeds Rd
Galloway, NJ 08205-9567
Phone
(609) 652-0888
Fax
(609) 652-0400
NPI assigned
Mar 8, 2007
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036127 PA
General Practice Dentistry 1223G0001X 22DI002661100 NJ Primary

Addresses

Primary practice location

200 E Jimmie Leeds Rd
Galloway, NJ 08205-9567

Mailing address

200 E Jimmie Leeds Rd
Galloway, NJ 08205-9567
Phone (609) 652-0888

Other names 1

  • Dr. Neil Dhillon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI002661100NJMDGeneral Practice Dentistry
DS036127PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Town Dental Group, PA Current Accepting new patients
Dhillon Dental Group, PA CurrentSince May 25, 2021 Accepting new patients
Custom Sleep Therapies PC Current Accepting new patients
Galloway Dental Group General Practice PastSince May 16, 2021 Accepting new patients

Locations

200 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 652-0888

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1700917978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059567",
            "telephone_number": "609-652-0888",
            "fax_number": "609-652-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059567",
            "telephone_number": "609-652-0888",
            "fax_number": "609-652-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "UPINDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036127",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI002661100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEIL",
            "last_name": "DHILLON",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.