Provider Demographics
NPI:1053153957
Name:JAIKRISH PA
Entity type:Organization
Organization Name:JAIKRISH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOKSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-703-0219
Mailing Address - Street 1:396 MALLARD PT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8353
Mailing Address - Country:US
Mailing Address - Phone:561-703-0219
Mailing Address - Fax:
Practice Address - Street 1:721 NORTHLAKE BLVD STE B
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5281
Practice Address - Country:US
Practice Address - Phone:561-842-3788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty