Provider Demographics
NPI:1609846179
Name:DRS. JOHAL, DUNNING & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DRS. JOHAL, DUNNING & ASSOCIATES, P.A.
Other - Org Name:DENTALWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOTINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-867-0453
Mailing Address - Street 1:PO BOX 860036
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0036
Mailing Address - Country:US
Mailing Address - Phone:704-867-0453
Mailing Address - Fax:216-584-1102
Practice Address - Street 1:2924 E FRANKLIN BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-7202
Practice Address - Country:US
Practice Address - Phone:704-867-0453
Practice Address - Fax:216-584-1102
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTALONE PARTNERS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-25
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty