JAISANVI PA NPI 1174183719

NPI Information

NPI: 1174183719
Provider Name: JAISANVI PA

Doing Business As: RIVERWALK DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
308 NW BETHANY DR
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 247-6750
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JAISANVI PA is a dental clinic center in Port St Lucie, FL. JAISANVI PA NPI is 1174183719. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverwalk Dental Group.

The provider's business location address is:

308 NW BETHANY DR
PORT ST LUCIE, FL
ZIP 34986-578
Phone: (772) 247-6750
Fax: (561) 250-8292

The provider's authorized official is Payal Chokshi .
The authorized official title is Owner and has the following contact phone number (561) 703-0219.

The enumeration date for this NPI number is 6/17/2019 and was last updated on 12/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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