Jagdeep Dhall, D.M.D., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAGDEEP DHALL, D.M.D., P.A.

Practice address

430 Waymont CT
Lake Mary, FL 32746-6745

Phone

(407) 322-1688

Fax

(407) 322-1684

NPI assigned

Jul 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jagdeep Dhall, DMDNPI 1750877346

Title

Dentist

Phone

(724) 840-5066

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jagdeep Dhall, DMD

  • General Practice Dentistry
  • Lake Mary, FL
  • NPI 1750877346
  NPD Authorized official

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1770100976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466745",
            "telephone_number": "407-322-1688",
            "fax_number": "407-322-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466745",
            "telephone_number": "407-322-1688",
            "fax_number": "407-322-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGDEEP DHALL, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "DHALL",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-840-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Jackson
• Jacob K Agamasu MD PA
• Paul Allen Jacobson, M.D.
• Pamela Jacques
• Halima Jaffer
• Ravindra R Jahagirdar, MD
• Udita R Jahagirdar, M.D.
• Jordan Elaise Jahosky
• James Ho, D.M.D., P.a
• Elliott James, ARNP

• Dental Clinic/Center in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; 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.