Provider Demographics
NPI:1093121006
Name:PATEL, HARSH (DDS,MS)
Entity Type:Individual
Prefix:
First Name:HARSH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9650 WESTHEIMER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3251
Mailing Address - Country:US
Mailing Address - Phone:713-952-0522
Mailing Address - Fax:
Practice Address - Street 1:9650 WESTHEIMER RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3251
Practice Address - Country:US
Practice Address - Phone:713-952-0522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL121751223G0001X
TX308821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice