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General NPI Number Information
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NPI Number | 1578426623
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Entity Type | Organization
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Legal Business Name | DESAI PERIODONTICS PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 7390 NW 5TH ST STE 9
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City | PLANTATION
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State | FL
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Zip | 33317-1610
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Country | US
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Telephone | 954-797-6866
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Fax | 954-797-6869
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Provider Business Mailing Address
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Address Line | 7390 NW 5TH ST STE 9
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City | PLANTATION
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State | FL
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Zip | 33317-1610
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Country | US
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Telephone | 954-797-6866
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Fax | 954-797-6869
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Authorized Official
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Title or Position | OWNER
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Name | DR. YASH DESAI
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Credential | DDS
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Telephone | 813-400-5428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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