Provider Demographics
NPI:1700917978
Name:DHILLON, UPINDER (DMD)
Entity Type:Individual
Prefix:DR
First Name:UPINDER
Middle Name:
Last Name:DHILLON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:NEIL
Other - Middle Name:
Other - Last Name:DHILLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:200 E JIMMIE LEEDS RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9567
Mailing Address - Country:US
Mailing Address - Phone:609-652-0888
Mailing Address - Fax:609-652-0400
Practice Address - Street 1:200 E JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9567
Practice Address - Country:US
Practice Address - Phone:609-652-0888
Practice Address - Fax:609-652-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0361271223G0001X
NJ22DI0026611001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice