Provider Demographics
NPI:1043526163
Name:DHALIWAL, HARPREET K (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:K
Last Name:DHALIWAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CHRISTOPHER ST
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-3103
Mailing Address - Country:US
Mailing Address - Phone:732-322-4141
Mailing Address - Fax:
Practice Address - Street 1:4255 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2308
Practice Address - Country:US
Practice Address - Phone:718-682-3373
Practice Address - Fax:888-644-6499
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055197-11223G0001X
NY0551971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice