DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1144396763

DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) is a healthcare provider. based in Silverdale, Washington. specializing in ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold the professional credentials M.D., D.D.S.. They hold a License No. 60016824 (WA). The NPI Number for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) is 1144396763

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.)
NPI
1144396763
Phone
(360) 698-9335
Address
2021 NW MYHRE RD
Enumeration Date
27 November 2006
Last Update Date
5 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604475100
Graduation Year
2009 (17 years ago)
PAC ID
4486704566
Group Practice PAC ID
1759279995
Professional Enrollment ID
I20090611000112
Address ID
WA983663738PO450XXBLVD404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

40 ORAL SURGERY in WA

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Provider Addresses for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.)

  • 2021, Northwest Myhre Road, Silverdale, Kitsap County, Washington, 98383, United States

    SUITE #210

    SILVERDALE, WA 983838562

    Phone: (360) 698-9335

    Fax: (360) 698-9385

    Type: Mailing

  • 7th Avenue Northeast, Poulsbo, Kitsap County, Washington, 98370, United States

    POULSBO, WA 983707529

    Phone: (360) 779-2339

    Fax: (360) 779-6475

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,602.

Total Amount is formed as General ($1,602) + Research ($0) + Ownership ($0) = $1,602.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Straumann USA LLC ($1,039).

Total Amount

$1,602

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,602

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090611000112IOral SurgeryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99202New patient office or other outpatient visit, 15-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 98383)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759279995View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryFL
-WA
Oral SurgeryWA

Reviews

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Frequently asked questions

Is there an official ID for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) in U.S. healthcare records?
The official identifier for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) is NPI 1144396763.
Is there an active status for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.)?
For scheduling context, DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) is shown as active in the registry.
What clinical focus is listed for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.)?
At a glance, DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) is tied to Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.)?
Directory geography for DR. SUKHDEEP SINGH DHALIWAL (M.D., D.D.S.) centers on Silverdale, Washington.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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