Healthcare Provider Details

I. General information

NPI: 1326985672
Provider Name (Legal Business Name): DILKARANJOT GREWAL DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
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

139 RIVER BANK RD
FUQUAY VARINA NC
27526-4088
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DILKARANJOT SINGH GREWAL
Title or Position: PRESIDENT
Credential: DDS
Phone: 206-458-5364