Provider Demographics
NPI:1053851733
Name:EXCEL DENTAL, P.C.
Entity Type:Organization
Organization Name:EXCEL DENTAL, P.C.
Other - Org Name:EXCEL DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHITRANG
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-677-2114
Mailing Address - Street 1:158 WOOD STREET
Mailing Address - Street 2:UNIT 3
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851
Mailing Address - Country:US
Mailing Address - Phone:978-677-2114
Mailing Address - Fax:978-677-2123
Practice Address - Street 1:158 WOOD STREET
Practice Address - Street 2:UNIT 3
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851
Practice Address - Country:US
Practice Address - Phone:978-677-2114
Practice Address - Fax:978-677-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1856529122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty