Healthcare Provider Details

I. General information

NPI: 1417613464
Provider Name (Legal Business Name): DILKARANJOT SINGH GREWAL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 FALLS OF NEUSE RD STE 114
RALEIGH NC
27615-3450
US

IV. Provider business mailing address

8300 FALLS OF NEUSE RD STE 114
RALEIGH NC
27615-3450
US

V. Phone/Fax

Practice location:
  • Phone: 919-676-4242
  • Fax:
Mailing address:
  • Phone: 919-676-4242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number61186181
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12964
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: