MEDICARE: JAIKRISH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1053153957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAIKRISH PA

Provider Business Mailing Address
First Line	:	396 MALLARD PT
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-8353
Country	:	US
Telephone Number	:	561-703-0219
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 NORTHLAKE BLVD STE B
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5281
Country	:	US
Telephone Number	:	561-842-3788
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAYAL CHOKSHI
Credential	:	DMD
Telephone Number	:	561-703-0219

Provider Enumeration Date	:	06/11/2024
Last Update Date	:	06/11/2024

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Directions to “JAIKRISH PA ” Practice Location

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