Provider Demographics
NPI:1114073657
Name:PALEJWALA, SMITA V (DDS)
Entity Type:Individual
Prefix:DR
First Name:SMITA
Middle Name:V
Last Name:PALEJWALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:META
Other - Middle Name:V
Other - Last Name:PALEJWALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
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
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
Practice Address - Country:US
Practice Address - Phone:480-947-7848
Practice Address - Fax:480-947-8053
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3225122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist