Provider Demographics
NPI:1073921672
Name:JAISHIL PLLC
Entity Type:Organization
Organization Name:JAISHIL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:PARIK
Authorized Official - Last Name:CHOKSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-744-3646
Mailing Address - Street 1:759 PARKWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4505
Mailing Address - Country:US
Mailing Address - Phone:561-744-3646
Mailing Address - Fax:561-748-5123
Practice Address - Street 1:759 PARKWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4505
Practice Address - Country:US
Practice Address - Phone:561-744-3646
Practice Address - Fax:561-748-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-27
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18713122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty