Provider Demographics
NPI:1023037603
Name:PATEL, NILASH SHARAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:NILASH
Middle Name:SHARAD
Last Name:PATEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 COLLIER PKWY
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-8718
Mailing Address - Country:US
Mailing Address - Phone:813-909-8400
Mailing Address - Fax:813-909-7060
Practice Address - Street 1:1849 COLLIER PKWY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-8718
Practice Address - Country:US
Practice Address - Phone:813-909-8400
Practice Address - Fax:813-909-7060
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN164151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice