Provider Demographics
NPI:1215654314
Name:SMITA V PALEJWALA D.D.S P.C
Entity type:Organization
Organization Name:SMITA V PALEJWALA D.D.S P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SMITA
Authorized Official - Middle Name:V
Authorized Official - Last Name:PALEJWALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:480-947-7848
Mailing Address - Street 1:6807 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6826
Mailing Address - Country:US
Mailing Address - Phone:480-947-7848
Mailing Address - Fax:480-947-8053
Practice Address - Street 1:6807 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6826
Practice Address - Country:US
Practice Address - Phone:480-947-7848
Practice Address - Fax:480-947-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty