Provider Demographics
NPI:1598721888
Name:PASUT, JOETTE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOETTE
Middle Name:M
Last Name:PASUT
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 1:7200 W BELL RD
Mailing Address - Street 2:STE C-3
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:623-979-1900
Mailing Address - Fax:623-979-4913
Practice Address - Street 1:7200 W BELL RD
Practice Address - Street 2:STE C-3
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308
Practice Address - Country:US
Practice Address - Phone:623-979-1900
Practice Address - Fax:623-979-4913
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4826122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist