Jawale Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49550 Issued in CA

Legal business name

JAWALE DENTAL CORPORATION

Doing business as

Pleasant Dental

Practice address

928 Pleasant Grove Blvd
Suite 100
Roseville, CA 95678-6178

Phone

(916) 772-1367

NPI assigned

Mar 1, 2013

Last updated

Sep 5, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shailesh Jawale, DDS

Title

President

Phone

(916) 772-1367

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1851632707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 PLEASANT GROVE BLVD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786178",
            "telephone_number": "916-772-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 PLEASANT GROVE BLVD",
            "address_2": "SUITE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786178",
            "telephone_number": "916-772-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWALE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "JAWALE",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-772-1367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gabrielle Jee

• General Practice Dentistry in Roseville, CA
• Providers in Roseville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.