Healthcare Provider Details

I. General information

NPI: 1851220867
Provider Name (Legal Business Name): DR. HARNEET GREWAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 S STATE RD STE A
ANN ARBOR MI
48108-3366
US

IV. Provider business mailing address

5960 S STATE RD STE A
ANN ARBOR MI
48108-3366
US

V. Phone/Fax

Practice location:
  • Phone: 734-328-1114
  • Fax: 734-328-1168
Mailing address:
  • Phone: 734-328-1114
  • Fax: 734-328-1168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HARNEET GREWAL
Title or Position: OWNER
Credential: DDS,BDS
Phone: 415-734-0641