Provider Demographics
NPI:1588890958
Name:DHILLON, NAVKIRANJOT (DMD)
Entity type:Individual
Prefix:DR
First Name:NAVKIRANJOT
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NAVKIRAN
Other - Middle Name:
Other - Last Name:DHILLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:173 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WARE
Mailing Address - State:MA
Mailing Address - Zip Code:01082-1458
Mailing Address - Country:US
Mailing Address - Phone:413-967-7140
Mailing Address - Fax:
Practice Address - Street 1:173 WEST ST
Practice Address - Street 2:
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1458
Practice Address - Country:US
Practice Address - Phone:413-967-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18551261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice