Dr. Dhaliwal DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. DHALIWAL DMD PLLC

Practice address

5712 E Lake Sammamish Pkwy SE Ste 108
Issaquah, WA 98029-8943

Phone

(425) 392-3900

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Aprinderpal S Dhaliwal, DMDNPI 1801415286

Title

Owner Dentist

Phone

(206) 331-7177

Specialties & licenses 1

Addresses

Other names 1

• Lake Sammamish Family Dentistry Doing business as

Locations

Practitioners 3

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

• Aprinderpal Singh Dhaliwal, DMD

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1801415286
  NPD Authorized official
• Avneet Kaur Dhaliwal, DMD

  • Dentist
  • Issaquah, WA
  • NPI 1366280125
  NPD
• Anna Lisin, DDS

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1447334222
  NPD (past)

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1992551725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13309 SE 261ST PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423507",
            "telephone_number": "206-331-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298943",
            "telephone_number": "425-392-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DHALIWAL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "APRINDERPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "206-331-7177",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Sammamish Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. Alastair Harper, DC, PS
• Dr. Jennifer, PHD, PLLC
• Dr. Mai X. Nguyen & Associates, PLLC
• Dr. Mary Glasser Inc
• Dr. Willis Gabel PLLC
• Cody Drake, D.C.

• Dental Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.