Provider Demographics
NPI:1245519016
Name:TOOR, DILVIR S (DDS)
Entity type:Individual
Prefix:
First Name:DILVIR
Middle Name:S
Last Name:TOOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3396 HAMMOCKS DR APT 106
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-4207
Mailing Address - Country:US
Mailing Address - Phone:585-733-5668
Mailing Address - Fax:
Practice Address - Street 1:161 S 2ND ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-1723
Practice Address - Country:US
Practice Address - Phone:315-593-2506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000104-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist