# PROVIDENCE DENTAL DHILLON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE DENTAL DHILLON PLLC
- **Other names:** Summer Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922533785
- **Legal business name:** PROVIDENCE DENTAL DHILLON PLLC
- **Authorized official:** GURBRINDER DHILLON (OWNER)
- **Authorized official phone:** (702) 852-2755

## Contact information

- **Practice address:** 10965 LAVENDER HILL DR, \# 6200, LAS VEGAS, NV 89135-2950
- **Practice address phone:** (702) 852-2755
- **Practice address fax:** (702) 947-4944
- **Mailing address:** 10965 LAVENDER HILL DR, \# 6200, LAS VEGAS, NV 89135-2950
- **Mailing address phone:** (702) 852-2755
- **Mailing address fax:** (702) 947-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | S6-81 | NV | — |
| 1223G0001X | General Practice Dentistry | S6-81 | NV | Yes |
| 1223P0221X | Pediatric Dentistry | S6-81 | NV | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S6-81 | NV | — |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017