Provider Demographics
NPI:1568919660
Name:PADVAL, SHEETAL S (DDS)
Entity Type:Individual
Prefix:
First Name:SHEETAL
Middle Name:S
Last Name:PADVAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 WATT AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-6235
Mailing Address - Country:US
Mailing Address - Phone:916-483-5900
Mailing Address - Fax:916-483-5905
Practice Address - Street 1:2711 WATT AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-6235
Practice Address - Country:US
Practice Address - Phone:916-483-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1008091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice