Healthcare Provider Details

I. General information

NPI: 1669394565
Provider Name (Legal Business Name): SEHAJ SINGH DHILLON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 MANGROVE AVE
CHICO CA
95926-2648
US

IV. Provider business mailing address

1612 MANGROVE AVE
CHICO CA
95926-2648
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-1674
  • Fax:
Mailing address:
  • Phone: 530-891-1674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS113545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: