Provider Demographics
NPI:1922506260
Name:DHILLON, MANPREET K (DDS)
Entity Type:Individual
Prefix:
First Name:MANPREET
Middle Name:K
Last Name:DHILLON
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 1:7500 MONTPELIER RD STE 108
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6012
Mailing Address - Country:US
Mailing Address - Phone:301-617-0880
Mailing Address - Fax:301-617-0880
Practice Address - Street 1:7500 MONTPELIER RD STE 108
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6012
Practice Address - Country:US
Practice Address - Phone:301-617-0880
Practice Address - Fax:301-617-0880
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16264122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist