NPIMap

Organization Active NPI

Providence Dental Dhillon PLLC

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1922533785
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
S6-81 Issued in NV
Legal business name
PROVIDENCE DENTAL DHILLON PLLC
Practice address
10965 Lavender Hill Dr
# 6200
Las Vegas, NV 89135-2950
Phone
(702) 852-2755
Fax
(702) 947-4944
NPI assigned
Apr 28, 2017
Organization subpart
Yes
Parent organization
PROVIDENCE DENTAL DHILLON PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Gurbrinder Dhillon
Title
Owner
Phone
(702) 852-2755

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X S6-81 NV
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X S6-81 NV Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X S6-81 NV
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X S6-81 NV

Addresses

Primary practice location

10965 Lavender Hill Dr
# 6200
Las Vegas, NV 89135-2950

Mailing address

10965 Lavender Hill Dr
# 6200
Las Vegas, NV 89135-2950
Phone (702) 852-2755

Other names 1

  • Summer Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Dental Dhillon PLLC2 organizations share this tax ID, including this one
Part of
Providence Dental Dhillon PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10965 Lavender Hill Dr
#6200
Las Vegas, NV 89135
Phone (702) 852-2255

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1922533785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 LAVENDER HILL DR",
            "address_2": "# 6200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352950",
            "telephone_number": "702-852-2755",
            "fax_number": "702-947-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 LAVENDER HILL DR",
            "address_2": "# 6200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352950",
            "telephone_number": "702-852-2755",
            "fax_number": "702-947-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE DENTAL DHILLON PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE DENTAL DHILLON PLLC",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "GURBRINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-852-2755"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S6-81",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "S6-81",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-81",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S6-81",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.