Balwinder Kaur Dhaliwal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

065421-01 Issued in NY

Practice address

3997 Park Ave
Fairfield, CT 06825-1263

Phone

(267) 909-2795

NPI assigned

Oct 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1730415233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 PARK AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251263",
            "telephone_number": "267-909-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 PARK AVE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251263",
            "telephone_number": "267-909-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "BALWINDER",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065421-01",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02587000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipti Mahendra Desai, PHARMD
• Shyam Ambrish Desai, MD
• Vanna M Dest, APRN
• Sara Ines Dever, MD
• Joshua Stiles Devin, RPH
• Sandhya Dhanjal, MD
• Anna Diamantis, LPC
• Diana Kral
• Raquel Huruta Dias, MD
• Charmaine Diaz, MSN APRN FNP-BC

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.