Provider Demographics
NPI:1710326400
Name:H. GILL DDS INC.
Entity Type:Organization
Organization Name:H. GILL DDS INC.
Other - Org Name:SMILES OF TEMECULA DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-836-1239
Mailing Address - Street 1:27365 JEFFERSON AVE
Mailing Address - Street 2:SUITES L M
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5692
Mailing Address - Country:US
Mailing Address - Phone:951-836-1239
Mailing Address - Fax:951-676-8976
Practice Address - Street 1:27365 JEFFERSON AVE
Practice Address - Street 2:SUITES L M
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5692
Practice Address - Country:US
Practice Address - Phone:951-836-1239
Practice Address - Fax:951-676-8976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA348451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1689721334Medicaid