Provider Demographics
NPI:1083988729
Name:PATEL, PARAS BHARATKUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARAS
Middle Name:BHARATKUMAR
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8107 SANTA CLARA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4447
Mailing Address - Country:US
Mailing Address - Phone:806-535-5859
Mailing Address - Fax:
Practice Address - Street 1:4514 COLE AVE STE 930
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4183
Practice Address - Country:US
Practice Address - Phone:855-672-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX277341223P0106X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
No122300000XDental ProvidersDentist