Provider Demographics
NPI:1861061871
Name:PRAJAPATI, SAUMYA (BDS, PHD, MSD)
Entity type:Individual
Prefix:DR
First Name:SAUMYA
Middle Name:
Last Name:PRAJAPATI
Suffix:
Gender:F
Credentials:BDS, PHD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 130TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1642
Mailing Address - Country:US
Mailing Address - Phone:443-742-3906
Mailing Address - Fax:
Practice Address - Street 1:205 W FAIRHAVEN AVE STE C
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1062
Practice Address - Country:US
Practice Address - Phone:443-742-3906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.611530231223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics