Provider Demographics
NPI:1053498931
Name:GILL, HARPREET (GENERAL DENTIST DDS)
Entity Type:Individual
Prefix:
First Name:HARPREET
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:GENERAL DENTIST DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 BELLS MILL RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2215
Mailing Address - Country:US
Mailing Address - Phone:734-740-0688
Mailing Address - Fax:
Practice Address - Street 1:11921 ROCKVILLE PIKE STE 101
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2744
Practice Address - Country:US
Practice Address - Phone:734-740-0688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16392122300000X
MI2901018868122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist